Individual
DR. HENRI WIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 WALNUT LN, ANGWIN, CA 94508-9786
(707) 965-9591
Mailing address
635 WALNUT LN, ANGWIN, CA 94508-9786
(707) 965-9591
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AFE20252
CA
2083P0901X
Public Health & General Preventive Medicine Physician
AFE20252
CA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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