Individual
MRS. MICHELE LYNNE WIESELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
300 W 5TH ST, MILLER, SD 57362-1238
(605) 853-0158
(605) 853-3885
Mailing address
300 W 5TH ST, PO BOX 287, MILLER, SD 57362-1238
(605) 853-0158
(605) 853-3885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000540
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6830580
—
SD
Enumeration date
08/26/2008
Last updated
06/12/2012
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