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1164452546
WIEKE H LIEM
TUSTIN, CA
NPI
1164452546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA G70387)
Enumeration Date
2006-07-03
Last Update Date
2023-09-14
Business Address
WIEKE H LIEM M.D.
17601 17TH ST # 10
TUSTIN, CA 92780-1949
Phone number: 714-790-0005
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Mailing Address
WIEKE H LIEM M.D.
17601 17TH ST # 110
TUSTIN, CA 92780-1949
Phone number: 714-790-0005
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