NPI 1003358573

Timothy Andrew Wienke

Practitioner Independent Duty Corpsman Indian Head, MD

Practice location

Address: 3399 Strauss Ave, Indian Head, MD 20640-5164
Phone: (301) 744-2038
Mailing address: 3934 Scanland Rd, Indian Head, MD 20640-4425

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Maryland →

Registry record

NPI: 1003358573
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2016
Record last updated: 15 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.