Wiese, David A

Wiese, David A is an individual health care provider with primary practice located at 9460 S Saginaw Rd Ste D , Grand Blanc MI 48439-8207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wiese, David A can be contacted via phone (810) 733-7741.

Contact Information

Primary practice address
9460 S Saginaw Rd Ste D Grand Blanc MI 48439-8207
Phone: (810) 733-7741
Fax: (810) 505-5021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X DW405105 Michigan

Profile Details

NPI number 1023126042
LBN Legal business name Wiese, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated May 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023126042 NPPES
Michigan MEDICAID 4515395
Michigan MEDICAID 4568693
Michigan MEDICAID 1023126042
Michigan MEDICAID 2610466

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