Wiese, Kurt Alan

Wiese, Kurt Alan is an individual health care provider with primary practice located at 401 Wall St Suite B, Valparaiso IN 46383-2521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wiese, Kurt Alan can be contacted via phone (219) 462-7773.

Contact Information

Primary practice address
401 Wall St Suite B Valparaiso IN 46383-2521
Phone: (219) 462-7773
Fax: (219) 531-5988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01040290A Indiana

Profile Details

NPI number 1659470250
LBN Legal business name Wiese, Kurt Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 5th, 2015 - about 11 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 1659470250 NPPES
Indiana MEDICAID 100351680B
Indiana Other 90000628
Indiana Other 00000091658

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