| NPI | 1497872212 |
|---|---|
| Former Legal Business Name | TIMOTHY M. WIEBE, PLLC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MITCHELL WIEBE Owner 601-264-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MS 15590) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2008-09-08 |