Individual
AUSTIN K WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
208 OLD MILL RD, MARTINSBURG, WV 25401-9219
(304) 263-5680
(304) 267-1532
Mailing address
208 OLD MILL RD, MARTINSBURG, WV 25401-9219
(304) 263-5680
(304) 267-1532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118401
WV
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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