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NPI 1003358573

IndividualActive

Timothy Wienke

NPI 1003358573 · Independent Duty Corpsman · Indian Head, MD

Provider details

NPI number: 1003358573
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Sex: Male
Sole proprietor: No

Practice location

3399 Strauss Ave

Indian Head, MD 20640-5164

Phone: (301) 744-2038

More MD providers

Mailing address

3934 Scanland Rd

Indian Head, MD 20640-4425

Registry dates

Enumerated: 2016-11-15
Last updated: 2016-11-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Timothy Wienke — NPI 1003358573, Indian Head, MD | NPI Central