Individual
MEGAN MARY WIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9780 W SKYE CANYON PARK DR STE 100, LAS VEGAS, NV 89166-6625
(702) 589-3100
(702) 851-7725
Mailing address
9780 W SKYE CANYON PARK DR STE 100, LAS VEGAS, NV 89166-6625
(702) 589-3100
(702) 851-7725
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA850
NV
Other
Enumeration date
08/11/2005
Last updated
06/07/2023
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