Micah Wiesner, PA

NPI #1326493073 in Garden City, Kansas

Provider Information

NPI Number: 1326493073
Entity Type: Individual
Name: Micah Wiesner, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 2, 2016
Last Updated: Mar 9, 2020

Practice Location

Address: 712A SAINT JOHN ST
City: Garden City
State: Kansas
ZIP Code: 67846-5128
Phone: (620) 275-1766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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