Jenna Wiese

NPI #1174197883 in Pillager, Minnesota

Provider Information

NPI Number: 1174197883
Entity Type: Individual
Name: Jenna Wiese
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 17, 2021
Last Updated: Mar 10, 2022

Practice Location

Address: 680 PILLSBURY ST N
City: Pillager
State: Minnesota
ZIP Code: 56473-2507
Phone: (218) 746-4527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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