Individual
DR. JOHN HOWARD WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1577 SKYLINE DR, LAGUNA BEACH, CA 92651-1944
(949) 230-7745
Mailing address
1577 SKYLINE DR, LAGUNA BEACH, CA 92651-1944
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G28996
CA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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