Individual
DR. ANDREW C WESELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 SIERRA ROSE DR, SUITE 4, RENO, NV 89511-2060
(775) 689-5410
(775) 689-5431
Mailing address
5920 COUR SAINT MICHELLE, RENO, NV 89511-4315
(775) 771-4749
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7129
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
7129
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050057655
RAILROAD MEDICARE
NV
05
—
2016530
—
NV
01
—
CC9383
BLUE CROSS BLUE SHIELD
NV
Enumeration date
07/06/2006
Last updated
01/23/2024
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