| NPI | 1093510596 |
|---|---|
| Former Legal Business Name | GREGORY WIENER MD PC |
| Entity Type | Organization |
| Authorized Contact | PATRICK H SWEET CEO 619-204-6927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |