Individual
TOMMY JOHN WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 MAIDEN LN FL 1, LITTLE FERRY, NJ 07643-2136
(407) 341-9420
Mailing address
24 MAIDEN LN FL 1, LITTLE FERRY, NJ 07643-2136
(407) 341-9420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME163164
FL
Other
Enumeration date
03/19/2019
Last updated
10/13/2023
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