Individual
DR. JACOB WIEPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
(816) 228-5900
Mailing address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
(816) 228-5900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2022025670
MO
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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