Individual
DR. DANIEL JEFFREY WIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
FRESNO & R STREET, FRESNO, CA 93721-1365
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A132112
CA
207L00000X
Anesthesiology Physician
TRN# 14925
FL
Other
Enumeration date
07/15/2010
Last updated
10/29/2014
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