Individual
DR. KATHRYN DENISE WIESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5057
Mailing address
7777 FOREST LN STE C135, DALLAS, TX 75230-6825
(972) 347-4783
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
2015010246
MO
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
Q8221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362392802
—
TX
Enumeration date
06/13/2010
Last updated
01/04/2022
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