Individual
DR. PAULA JO WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2500 NORTHVIEW RD STE 101, LINCOLN, NE 68521-1228
(402) 438-3033
(402) 438-3034
Mailing address
2500 NORTHVIEW RD STE 101, LINCOLN, NE 68521-1228
(402) 438-3033
(402) 438-3034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1227
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025326100
—
NE
01
—
246252
MIDLANDS CHOICE
NE
Enumeration date
10/03/2006
Last updated
07/09/2007
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