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1104405455
BENJAMIN RUSSELL WIENER
ROANOKE, VA
NPI
1104405455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-05
Last Update Date
2021-04-05
Business Address
BENJAMIN RUSSELL WIENER MD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
BENJAMIN RUSSELL WIENER MD
127 COLFAX DR
CHAPEL HILL, NC 27516-4653
Phone number: 919-370-0532
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