Wieland, Mark R
Wieland, Mark R is an individual health care provider with primary practice located at 2485 Hospital Dr Suite 200, Mountain View CA 94040-4101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wieland, Mark R can be contacted via phone (650) 988-7480.Contact Information
Primary practice address
2485 Hospital Dr Suite 200
Mountain View CA 94040-4101
Phone: (650) 988-7480
Fax: (650) 988-7482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 00A48482 | California |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 00A48482 | California |
Profile Details
| NPI number | 1134114382 |
|---|---|
| LBN Legal business name | Wieland, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Dec 14th, 2017 - about 8 years ago |
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 | 1134114382 | NPPES |
| California | MEDICAID | 00A484821 |
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