Individual
DR. JACOB ANTHONY WIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2540 N HEALTHY WAY, FREMONT, NE 68025-2315
(402) 721-6333
Mailing address
2540 N HEALTHY WAY, FREMONT, NE 68025-2315
(402) 721-6333
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5413
NE
Other
Enumeration date
04/22/2007
Last updated
01/21/2016
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