Coeur D'Alene Arthritis Clinic

LBN: Craig W. Wiesenhutter, Md
Coeur D'Alene Arthritis Clinic is an health care organization with primary practice located at 950 W Ironwood Dr , Coeur D Alene ID 83814-2644. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Craig W. Wiesenhutter, Md can be contacted via phone (208) 765-5457, or through Wiesenhutter, Craig W via phone (208) 765-5447.

Contact Information

Primary practice address
950 W Ironwood Dr Coeur D Alene ID 83814-2644
Phone: (208) 765-5457
Fax: (208) 765-6248
Website:
Map and Directions
Authorized official contact:
Name: Wiesenhutter, Craig W Doctor of Medicine (MD)
Phone: (208) 765-5447

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X M4720 Idaho

Profile Details

NPI number 1487870796
LBN Legal business name Craig W. Wiesenhutter, Md
DBA Doing business as Coeur D'Alene Arthritis Clinic
Authorized official Wiesenhutter, Craig W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Mar 3rd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487870796 NPPES
Idaho MEDICAID 002074200

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