Jonathan G. Wiens, MD
Physical Medicine & Rehabilitation in Clovis, CA. Individual provider (NPI-1).
NPI number1063590883
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1063590883
- Entity type
- Individual (NPI-1)
- Name
- Jonathan G. Wiens
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | G68592 | CA | Yes |
Practice location
2071 Herndon AveClovis, CA 93611-6101
Phone 559-324-5100
Mailing address
1800 Harrison St Fl 7Oakland, CA 94612-3429
Phone 510-625-6262
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