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General NPI Number Information
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NPI Number | 1831557354
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Entity Type | Organization
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Legal Business Name | ANN M WIERMAN M D LTD
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 3150 N TENAYA WAY SUITE 200
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City | LAS VEGAS
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State | NV
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Zip | 89128
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Country | US
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Telephone | 702-749-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 N TENAYA WAY SUITE 200
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City | LAS VEGAS
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State | NV
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Zip | 89128-0443
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Country | US
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Telephone | 702-749-3700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANN M WIERMAN
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Credential | M.D.
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Telephone | 702-749-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 7788
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License Number State | NV
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