Individual
JOHN WIESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5722 INTEGRITY DR BLDG 771, MILLINGTON, TN 38054-5028
(901) 882-6130
Mailing address
200 MERCY CIRCLE RD, CAMP PENDLETON, CA 92055
(760) 725-1288
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102207415
VA
Other
Enumeration date
03/16/2021
Last updated
07/16/2024
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