Organization
DEAN S WIESE MD PS
Active
Organization
DEAN S WIESE MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN S WIESE M.D. (PRESIDENT)
(360) 705-0421
Entity
Organization
Contact information
Practice address
403 BLACK HILLS LN SW STE A, OLYMPIA, WA 98502-8600
(360) 705-0421
Mailing address
403 BLACK HILLS LN SW STE A, OLYMPIA, WA 98502-8600
(360) 705-0421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
WA30693
WA
Other
Enumeration date
02/17/2010
Last updated
02/23/2010
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