Individual
ALISON LEE WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4825 CREEKSTONE DR STE 250, DURHAM, NC 27703-5430
(610) 704-9914
Mailing address
1420 WHITTINGTON DR, RALEIGH, NC 27614-8755
(610) 704-9914
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0010-08477
NC
363A00000X
Physician Assistant
Primary
25MP00245800
NJ
Other
Enumeration date
01/26/2011
Last updated
01/17/2019
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