Individual
MR. GREGORY MATHEW WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
352 EAST HOOD ST., SUITE E, SISTERS, OR 97759
(541) 549-1523
Mailing address
PO BOX 1910, SISTERS, OR 97759
(541) 549-1523
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
61995
OR
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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