Elise R Wiesner MD PC

NPI #1396790754 in Norman, Oklahoma

Provider Information

NPI Number: 1396790754
Entity Type: Organization
Organization Name: Elise R Wiesner MD PC
Primary Specialty: Internal Medicine
Enumeration Date: May 24, 2006
Last Updated: Jan 22, 2008

Practice Location

Address: 900 N PORTER AVE
Address 2: SUITE 310
City: Norman
State: Oklahoma
ZIP Code: 73071-6424
Phone: (405) 329-7066

Authorized Official

Name: DR. ELISE R WIESNER, M.D.
Title: OWNER
Phone: (405) 329-7066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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