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Randy Wientjes, C.R.N.A

NPI 1154352045 · on the registry since 2006 · sole proprietor

Practice

Address
3042 Lakeview Dr
Metropolis, IL 62960
Phone
(618) 524-9217
Fax
(618) 524-2158

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
367500000X
367500000X
Licence states on file
IL, SD, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois