Individual
FREDERICK KEYSER WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 ROBERTS ROAD, CANAAN, NH 03741
(603) 523-4343
(603) 523-4502
Mailing address
18 ROBERTS ROAD, CANAAN, NH 03741-1079
(603) 523-4343
(603) 523-4502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6868
NH
207RC0000X
Cardiovascular Disease Physician
6868
NH
Other
Enumeration date
07/28/2006
Last updated
12/21/2019
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