Individual
PAUL D WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 E. PAVILION PLACE, SUITE B, MONTROSE, CO 81401
(970) 249-1210
(970) 249-3057
Mailing address
1800 E. PAVILION PLACE, SUITE B, MONTROSE, CO 81401
(970) 249-1210
(970) 249-3057
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25545
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01255454
—
CO
01
—
0754950001
DME REGION C PALMETTO GBA
—
01
—
180002594
RAILROAD MEDICARE
—
01
—
45289
BLUECROSS BLUE SHIELD
—
01
—
840851676003
ROCKY MOUNTAIN HEALTH PLA
—
Enumeration date
01/18/2007
Last updated
02/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us