Individual
DR. RYAN MICHAEL WIESELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
995 W ORCHARD AVE, HERMISTON, OR 97838-1536
(541) 567-8161
(541) 564-9185
Mailing address
995 W ORCHARD AVE, HERMISTON, OR 97838-1536
(541) 567-8161
(541) 564-9185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9169
OR
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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