Individual
MS. ANN W WIESEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 254-5103
(765) 741-0310
Mailing address
7201 E COUNTY ROAD 550 S, MUNCIE, IN 47302-9621
(765) 774-4309
(765) 285-2169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001136A
IN
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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