Individual
SUSAN WIESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PATHOLOGISTS' ASSIST
Contact information
Practice address
475 KIRMAN AVE, RENO, NV 89502-1907
(775) 334-3450
Mailing address
412 13TH ST, GLENWOOD SPRINGS, CO 81601-3958
(763) 227-8860
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
27184-AP-3
NV
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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