Wiese, Nicholas

Wiese, Nicholas is an individual health care provider with primary practice located at 417 Lincoln Ave Nw , Faribault MN 55021-4952. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wiese, Nicholas can be contacted via phone (507) 332-7608.

Contact Information

Primary practice address
417 Lincoln Ave Nw Faribault MN 55021-4952
Phone: (507) 332-7608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11401 Minnesota

Profile Details

NPI number 1104814029
LBN Legal business name Wiese, Nicholas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 19 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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