Collier S Wiese PA-C

NPI 1003896382 - Physician Assistant - 363A00000X

NPI Details
NPI 1003896382
Gender Male
Enumeration Date 01/20/2006
Last Updated 06/01/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1541 GULL RD
SUITE 200
KALAMAZOO MI, 49048-1639, US
Phone (269) 343-1264
Fax (269) 343-9555
Business Location
1541 GULL RD
SUITE 200
KALAMAZOO MI, 49048-1639, US
Phone (269) 343-1264
Fax (269) 343-9555
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601002503
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According to our database, Collier S Wiese PA-C NPI is 1003896382, taxonomy code is 363A00000X and license number is 5601002503, license state is located at Michigan. Collier S Wiese PA-C physically located at 1541 Gull Rd, Kalamazoo MI, 49048-1639. NPI Number Collier S Wiese PA-C has the Individual type.

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1003896382 NPI number is provided on an as is basis without warranty of any kind. 1003896382 is maintained by the National Plan & Provider Enumeration System. The contents of Collier S Wiese PA-C are for informational purposes only.