Individual
ALIVIA WIESELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1637 E MONUMENT PLAZA CIR STE 1, CASA GRANDE, AZ 85122-5639
(520) 426-1512
(520) 426-1750
Mailing address
8415 N PIMA RD, STE 212, SCOTTSDALE, AZ 85258-4485
(520) 426-1512
(520) 426-1750
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6051
AZ
Other
Enumeration date
05/25/2015
Last updated
01/09/2020
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