SearchWashington163W00000X

Gerald Wieder

NPI 1487135844 · on the registry since 2018 · sole proprietor

Practice

Address
4130 Sw 325th St
Federal Way, WA 98023
Phone
(206) 234-8384

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington