Wiechmann, David A
Wiechmann, David A is an individual health care provider with primary practice located at 2217 Nicollet Ave , Minneapolis MN 55404-3382. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Wiechmann, David A can be contacted via phone (612) 216-1362.Contact Information
Primary practice address
2217 Nicollet Ave
Minneapolis MN 55404-3382
Phone: (612) 216-1362
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 46148 | Minnesota |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 46148 | Minnesota |
Profile Details
NPI number | 1770544678 |
---|---|
LBN Legal business name | Wiechmann, David A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2006 |
Last updated | Nov 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770544678 | NPPES |
Minnesota | MEDICAID | 278635400 |
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