MR. Kevin Wayne Wiesner JR.
NPI #1376000356 in Marmora, New Jersey
Provider Information
- NPI Number
- 1376000356
- Entity Type
- Individual
- Name
- MR. Kevin Wayne Wiesner JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Feb 26, 2019
- Last Updated
- Feb 26, 2019
Practice Location
- Address
- 22 CHURCH RD
- City
- Marmora
- State
- New Jersey
- ZIP Code
- 08223-1257
- Phone
- (609) 846-5786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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