Individual
CAL EDWARD WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1909 HAMILTON BLVD, SIOUX CITY, IA 51104-4148
(712) 252-4333
Mailing address
201 N MAIN ST, DENISON, IA 51442-1373
(712) 263-2020
(712) 263-4053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
114761
IA
Other
Enumeration date
06/20/2022
Last updated
06/23/2022
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