Organization
ROBERT WIESEN DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL WIESEN JR. DDS, MS (ENDODONTIST)
(810) 584-7275
Entity
Organization
Contact information
Practice address
8235 HOLLY RD STE 2, GRAND BLANC, MI 48439-2441
(810) 584-7275
Mailing address
8235 HOLLY RD STE 2, GRAND BLANC, MI 48439-2441
(810) 584-7275
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
05/24/2024
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