Individual
MS. STACIE L WIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MAPLE RD, MAPLE MEDICAL SERVICES, P.C., WILLIAMSVILLE, NY 14221-2918
(716) 631-1045
(716) 631-1365
Mailing address
270 CHAIRFACTORY RD, ELMA, NY 14059
(716) 652-2022
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F4207091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560899001
BCBS
—
Enumeration date
09/06/2006
Last updated
02/09/2010
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