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1205980422
CRAIG W WIESENHUTTER
COEUR D ALENE, ID
NPI
1205980422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: ID M4720)
Enumeration Date
2007-01-23
Last Update Date
2011-03-18
Business Address
-- CRAIG W WIESENHUTTER MD
950 W IRONWOOD DR
COEUR D ALENE, ID 83814-2644
Phone number: 208-765-5457
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Mailing Address
-- CRAIG W WIESENHUTTER MD
950 W IRONWOOD DR
COEUR D ALENE, ID 83814-2644
Phone number: 208-765-5457
Copy
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