DR. Jason Andrew Wiese, D.C

NPI #1356319750 in Omaha, Nebraska

Provider Information

NPI Number: 1356319750
Entity Type: Individual
Name: DR. Jason Andrew Wiese, D.C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Chiropractor
Credential: D.C
Enumeration Date: Mar 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 15478 RUGGLES ST.
Address 2: SUITE 110
City: Omaha
State: Nebraska
ZIP Code: 68116
Phone: (402) 934-4220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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