DR. Nicholas Wiese, D.D.S.

NPI #1104814029 in Faribault, Minnesota

Provider Information

NPI Number: 1104814029
Entity Type: Individual
Name: DR. Nicholas Wiese, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 13, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 417 LINCOLN AVE NW
City: Faribault
State: Minnesota
ZIP Code: 55021-4952
Phone: (507) 332-7608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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