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1003358573
TIMOTHY ANDREW WIENKE
INDIAN HEAD, MD
NPI
1003358573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2016-11-15
Last Update Date
2016-11-15
Business Address
TIMOTHY ANDREW WIENKE
3399 STRAUSS AVE
INDIAN HEAD, MD 20640-5164
Phone number: 301-744-2038
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Mailing Address
TIMOTHY ANDREW WIENKE
3934 SCANLAND RD
INDIAN HEAD, MD 20640-4425
Phone number: 661-317-1255
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