Steven Wiese MD

NPI 1003075532 - Emergency Medicine - 207P00000X

NPI Details
NPI 1003075532
Gender Male
Enumeration Date 06/09/2008
Last Updated 08/19/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
4236 E EVERGLADE AVE
ODESSA TX, 79762-7136, US
Phone (979) 575-8119
Fax
Business Location
4236 E EVERGLADE AVE
ODESSA TX, 79762-7136, US
Phone (979) 575-8119
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Texas
License Number P7870
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According to our database, Dr. Steven Wiese MD NPI is 1003075532, taxonomy code is 207P00000X and license number is P7870, license state is located at Texas. Steven Wiese MD physically located at 4236 E Everglade Ave, Odessa TX, 79762-7136. NPI Number Steven Wiese MD has the Individual type.

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1003075532 NPI number is provided on an as is basis without warranty of any kind. 1003075532 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Wiese MD are for informational purposes only.