Individual
EDWARD WIESNETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND12989
FL
Other
Enumeration date
03/06/2024
Last updated
01/24/2026
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