Individual
WENDY E WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
147926
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44333400
—
WI
01
—
P00187576
RAILROAD MEDICARE
WI
Enumeration date
12/15/2005
Last updated
07/13/2026
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