Individual
BRANDI WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
308 E CENTRAL AVE, ANDOVER, KS 67002-5605
(316) 733-1331
(316) 733-4916
Mailing address
2700 E 30TH AVE, HUTCHINSON, KS 67502-1242
(620) 663-8484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9408117
KS
207QA0505X
Adult Medicine Physician
Primary
04-39185
KS
Other
Enumeration date
05/15/2013
Last updated
10/18/2024
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