H.J. WIENS, M.D.,P.C.
Marriage and Family Therapists at Southern Ave, Mesa, AZ

License number
Arizona 13419
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: SHELLY LEONARD
Title: OFFICE MANAGER
Phone: (480) 654-2173
Address
Address
5432 E Southern Ave STE 101, Mesa, AZ 85206
National Provider ID: 1629085733
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about H.J. WIENS, M.D.,P.C. at bizstanding.com

H.J. WIENS, M.D., PC

5432 E Southern Ave #101, Mesa, AZ 85206

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Feb 26, 2002
Inactive since:
Sep 4, 2013
State ID:
-1020408-4
Expiration:
PERPETUAL
President:
Hj Wiens (President), 5432 E Southern Ave #101, Mesa, AZ 85206 (Physical)
Agent:
Benedict And Martin Pllc,3333 E Camelback Rd #175, Phoenix, AZ 85018 (Physical)
Business type:
HEALTH CARE

Marriage and Family Therapists licenses in Arizona










Other Doctors licenses in Arizona