John M. Wieland is a Surgery in Bloomington, Illinois. John M. Wieland practices all healthcare services and medical treatments related to Surgery. The NPI Number for John M. Wieland is 1790717387. The last update date is 2020-12-07.
John M. Wieland's current location address is 1505 Eastland Dr, Bloomington, Illinois. You can contact this provider via phone number 3096629022 and fax number 3096622091. The mailing address for John M. Wieland is 1505 Eastland Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John M. Wieland |
|---|---|
| Address | 1505 Eastland Dr, Bloomington, Illinois |
| Phone Number | 3096629022 |
| Fax Number | 3096622091 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790717387 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2020-12-07 |
Provider Mailing Address Detail
| Address | 1505 Eastland Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617013534 |
| Phone Number | 3096629022 |
| Fax Number | 3096622091 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36078215 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36078215 | ID | PUBLIC AID | |
| 5700305 | IL | BLUE CROSS BLUE SHIELD | |
| 833120 | MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique provider identifier assigned to John M. Wieland?
The John M. Wieland has been issued the NPI (National Provider Identifier) 1790717387 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where John M. Wieland is physically located?
The John M. Wieland is situated at the following address: 1505 Eastland Dr, Bloomington, IL 617013534.
What is John M. Wieland's specialized field of practice, and what is the corresponding taxonomy classification code?
The John M. Wieland's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the John M. Wieland receive the assignment of its 1790717387 from the Centers for Medicare & Medicaid Services?
The John M. Wieland was issued its 1790717387 by the Centers for Medicare & Medicaid Services on 2006-07-06.
As of what date was the information regarding John M. Wieland, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John M. Wieland, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-07.
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