Organization
CRISTINA S. WIESE. M.D. INC.
Active
Organization
CRISTINA S. WIESE. M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTINA SUSANA WIESE M.D. (PRESIDENT)
(805) 557-0452
Entity
Organization
Contact information
Practice address
325 E. ROLLING OAKS DR., SUITE 100, THOUSAND OAKS, CA 91361-1283
(805) 557-0452
(805) 557-0471
Mailing address
325 E. ROLLING OAKS DR., SUITE 100, THOUSAND OAKS, CA 91361-1283
(805) 557-0452
(805) 557-0471
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A91425
CA
Other
Enumeration date
10/13/2010
Last updated
07/25/2012
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