Individual
CHAD H WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 256-6476
(918) 256-9890
Mailing address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 256-6476
(918) 256-9890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133818
OK
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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