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Organization
ROBERT WIESEN DDS MS PLLC
Active
Organization
ROBERT WIESEN DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL WIESEN JR. DDS, MS (ENDODONTIST)
(810) 584-7275
Entity
Organization
Contact information
Practice address
8235 HOLLY RD STE 2, GRAND BLANC, MI 48439-2441
(810) 584-7275
Mailing address
8235 HOLLY RD STE 2, GRAND BLANC, MI 48439-2441
(810) 584-7275
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
05/24/2024
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