Individual
CHARLES D WIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4001 E SUNRISE DR STE 121, TUCSON, AZ 85718-4324
(520) 209-7000
(520) 209-7010
Mailing address
4001 E SUNRISE DR STE 121, TUCSON, AZ 85718-4324
(520) 209-7000
(520) 209-7010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2461
AZ
Other
Enumeration date
06/26/2006
Last updated
10/01/2020
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