Shannon Marie Wieland

NPI #1215187190 in Ankeny, Iowa

Provider Information

NPI Number: 1215187190
Entity Type: Individual
Name: Shannon Marie Wieland
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 26, 2008
Last Updated: Sep 26, 2008

Practice Location

Address: 715 SW ANKENY RD
City: Ankeny
State: Iowa
ZIP Code: 50023-9798
Phone: (515) 965-1339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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