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Individual

STEVEN K WIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32822
MN
207Q00000X
Family Medicine Physician
Primary
32822
MN

Other

Enumeration date
01/18/2006
Last updated
01/16/2024
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