Doctor Name: | MICHAEL L WIECHMANN |
NPI Number: | 1104805837 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, FACC |
License Number: | G58530 |
Business Practice Address: | 295 Posada Ln Ste A Templeton, CA - 934654055 |
Business Phone Number: | 8057828844 |
Business Fax Number: | 8057828859 |
Mailing Address: | 1941 Johnson Ave, Ste 101 SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934014154 |
Phone Number: | 8057828844 |
Fax Number: | 8057828859 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | G58530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |