Individual
ALLISON MARIE WIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
226 N HALLECK ST, DEMOTTE, IN 46310-8633
(219) 987-4900
Mailing address
292 LARWICK CIR, VALPARAISO, IN 46385-9305
(219) 476-1637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019259A
IN
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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