Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Wieland, PA-C

Individual provider Physician Assistant · NPI 1861019945

Michael Wieland, PA-C is a Physician Assistant in Moline, Illinois. Graduated from Southern Illinois University School of Medicine in 2020, 6 years ago. Practices with Genesis Health System, a 262-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
Trained at
Southern Illinois University School of Medicine
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

612 35th Ave
Moline, IL 61265-6176
Phone: (309) 788-0014
Fax: (309) 623-4638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1989 Spruce Hills Dr, Bettendorf, IA 52722-2624 — (563) 293-3131

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1861019945
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 6, 2020
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Genesis Health System — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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