Individual provider · Type 1 NPI

Blaine Matthew Wiemers, MD

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1942942065 Active

Practice location

6431 Fannin St # 5.170
Houston, TX 77030-1501

Call (713) 500-7160 Map

Fax (713) 500-0648

Mailing address

2101 Church St Ste 808
Galveston, TX 77550-1868

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1942942065

Blaine Matthew Wiemers, MD's National Provider Identifier is 1942942065, issued on Apr 9, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on Apr 9, 2022.