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1710910815
TIMOTHY E. WIESS
CROWN POINT, IN
NPI
1710910815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 01049993A)
Enumeration Date
2006-07-09
Last Update Date
2023-09-28
Business Address
TIMOTHY E. WIESS MD
9470 BROADWAY
CROWN POINT, IN 46307-5722
Phone number: 219-661-3260
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Mailing Address
TIMOTHY E. WIESS MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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