Individual
CHRISTOPHER WIENAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3000
Mailing address
117 TIPPERARY TER, MOORE, SC 29369-9487
(864) 327-1796
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R76793
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0902
—
SC
Enumeration date
07/29/2006
Last updated
10/16/2007
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