Provider Demographics
NPI:1356645121
Name:WIMER MEDICAL SERVICES, PC
Entity Type:Organization
Organization Name:WIMER MEDICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:
Authorized Official - Last Name:WIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-975-7161
Mailing Address - Street 1:9286 HARDING ST
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-8406
Mailing Address - Country:US
Mailing Address - Phone:515-975-7161
Mailing Address - Fax:
Practice Address - Street 1:9286 HARDING ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-8406
Practice Address - Country:US
Practice Address - Phone:515-975-7161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02444207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty