Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 53944-020 | WI |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 53944-020 | WI |
NPI | 1689887986 |
---|---|
Provider Name | Dr. Aaron Michael Wieland |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 02/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10025044400 | (05) | NE |
1689887986 | (05) | IA |
1689887986 | WELLMARK (01) | NE |