Individual
MR. GEORGE ENRIQUE WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3945 E SOUTHERN AVE, PHOENIX, AZ 85040-3961
(602) 426-0498
(602) 426-0567
Mailing address
459 W PRINCETON AVE, GILBERT, AZ 85233-3274
(480) 503-4865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017598
AZ
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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