Wiens, Glenn A

Wiens, Glenn A is an individual health care provider with primary practice located at 2430 20Th St Sw , Jamestown ND 58401-6201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wiens, Glenn A can be contacted via phone (701) 253-5300.

Contact Information

Primary practice address
2430 20Th St Sw Jamestown ND 58401-6201
Fax: (701) 253-5402
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5541 North Dakota

Profile Details

NPI number 1316971567
LBN Legal business name Wiens, Glenn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 23rd, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316971567 NPPES
North Dakota MEDICAID 16326
North Dakota Other 14061
North Dakota MEDICAID 1450684

Popular Providers