Collier S Wiese, PA-C

NPI #1003896382 in Kalamazoo, Michigan

Provider Information

NPI Number
1003896382
Entity Type
Individual
Name
Collier S Wiese, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 20, 2006
Last Updated
Jun 1, 2011

Practice Location

Address
1541 GULL RD
Address 2
SUITE 200
ZIP Code
49048-1639
Phone
(269) 343-1264

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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