Doctor Name: | TIMOTHY E. WIESS |
NPI Number: | 1710910815 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01049993A |
Business Practice Address: | 9470 Broadway Crown Point, IN - 463075722 |
Business Phone Number: | 2196613260 |
Business Fax Number: | 2196623765 |
Mailing Address: | 1040 Sierra Dr, Suite 400 GREENWOOD |
State: | IN |
Postal Code: | 461437241 |
Phone Number: | 3175284284 |
Fax Number: | 3178658355 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 04/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 01049993A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |