Bruce K Wiesman

NPI #1427145481 in Belleville, Wisconsin

Provider Information

NPI Number: 1427145481
Entity Type: Individual
Name: Bruce K Wiesman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1019 RIVER ST
City: Belleville
State: Wisconsin
ZIP Code: 53508-9181
Phone: (608) 424-3364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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