Elise R Wiesner Md Pc

NPI 1396790754 - Internal Medicine - 207R00000X

NPI Details
NPI 1396790754
Enumeration Date 05/24/2006
Last Updated 01/22/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ELISE R ELISE
Position OWNER
Phone (405) 329-7066
Fax (405) 360-6315
Practice Location
900 N PORTER AVE
SUITE 310
NORMAN OK, 73071-6424, US
Phone (405) 329-7066
Fax (405) 360-6315
Business Location
900 N PORTER AVE
SUITE 310
NORMAN OK, 73071-6424, US
Phone (405) 329-7066
Fax (405) 360-6315
Toxanomy
Taxonomy Code 207R00000X
License State Oklahoma
License Number 18219
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According to our database, Elise R Wiesner Md Pc NPI is 1396790754, taxonomy code is 207R00000X and license number is 18219, license state is located at Oklahoma. Elise R Wiesner Md Pc physically located at 900 N Porter Ave, Norman OK, 73071-6424. NPI Number 1033115704 has the healthcare provider type.

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1396790754 NPI number is provided on an as is basis without warranty of any kind. 1396790754 is maintained by the National Plan & Provider Enumeration System. The contents of Elise R Wiesner Md Pc are for informational purposes only.