Individual
MRS. CHRISTINE MARIE WIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3435 W BROADWAY AVE, ROBBINSDALE, MN 55422-2969
(763) 581-2800
(763) 581-2801
Mailing address
3435 W BROADWAY AVE, ROBBINSDALE, MN 55422-2969
(763) 581-2800
(763) 581-2801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 180600-9
MN
Other
Enumeration date
06/09/2013
Last updated
06/09/2013
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