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CRAIG W. WIESENHUTTER MD NPI 1487870796


NPI Information

NPI: 1487870796
Provider Name: CRAIG W. WIESENHUTTER, MD

Doing Business As: COEUR D'ALENE ARTHRITIS CLINIC

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
950 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 765-5457
Get Directions

CRAIG W. WIESENHUTTER, MD is a rheumatology internal medicine in Coeur D Alene, ID. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. CRAIG W. WIESENHUTTER, MD NPI is 1487870796. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coeur D'alene Arthritis Clinic.

The provider's business location address is:

950 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814-644
Phone: (208) 765-5457
Fax: (208) 765-6248

The provider's authorized official is Craig W Wiesenhutter .
The authorized official title is Owner and has the following contact phone number (208) 765-5447.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 3/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyM4720IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B63633MEDICARE UPINIDAHO
2002074200MEDICAIDIDAHO
31377319MEDICARE ID-TYPE UNSPECIFIEDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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