Individual
TAYLOR WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 N BILTMORE LN, MADISON, WI 53718-2161
(608) 592-8100
Mailing address
2929 N MAYFAIR RD UNIT 328, WAUWATOSA, WI 53222-4325
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
237132-30
WI
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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