Individual
MRS. AMY WIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W BIG BEAVER RD STE 280, BLOOMFIELD HILLS, MI 48304-3912
(248) 322-3362
Mailing address
7126 ARROWOOD DR, WEST BLOOMFIELD, MI 48324-2500
(248) 895-6278
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
1144430133
MI
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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