MR. Michael J Wieland

NPI #1023149135 in Boulder Creek, California

Provider Information

NPI Number
1023149135
Entity Type
Individual
Name
MR. Michael J Wieland
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Mar 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
14300 W PARK AVE
ZIP Code
95006-9304
Phone
(831) 566-7456

Specialties & Taxonomy Codes

Specialty
Pharmacist

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