NPI 1902021553

Eric Andrew Wieman, MD

Practitioner Surgery Physician Jackson, WY

Practice location

Address: 555 E Broadway Ave STE 229, Jackson, WY 83001-8640
Phone: (307) 739-7690
Fax: (307) 739-7644
Mailing address: PO Box 428, Jackson, WY 83001-0428

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 10897A (WY)

Other Surgery providers in Wyoming →

Registry record

NPI: 1902021553
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2007
Record last updated: 24 Feb 2021

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.