Organization
ERIC P WIESNER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC P WIESNER MD (PRESIDENT)
(608) 692-9153
Entity
Organization
Contact information
Practice address
611 E STAR CT STE A, MONTROSE, CO 81401-6704
(970) 249-4321
(970) 249-2339
Mailing address
611 E STAR CT STE A, MONTROSE, CO 81401-6704
(970) 249-4321
(970) 249-2339
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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