Organization
SCOTT L WIESEN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L WIESEN M.D. (PRESIDENT)
(239) 775-4444
Entity
Organization
Contact information
Practice address
625 TAMIAMI TRL N, SUITE 304, NAPLES, FL 34102-8143
(239) 775-4444
(239) 775-4445
Mailing address
625 9TH ST N, SUITE 304, NAPLES, FL 34102-8143
(239) 775-4444
(239) 775-4445
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME53124
FL
Other
Enumeration date
09/27/2010
Last updated
06/08/2012
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