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Individual

DR. DAVID LEE WIEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 237-9712
(701) 237-0922
Mailing address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 237-9712
(701) 237-0922

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
30316
MN
207X00000X
Orthopaedic Surgery Physician
Primary
5333
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15407
ND
Enumeration date
05/16/2006
Last updated
12/12/2013
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