Thomas Russell Wieters, M.d., P.a.

NPI #1518149350 in Mount Pleasant, South Carolina

Provider Information

NPI Number
1518149350
Entity Type
Organization
Organization Name
Thomas Russell Wieters, M.d., P.a.
Primary Specialty
Surgery - Vascular Surgery
Enumeration Date
Dec 4, 2007
Last Updated
Mar 19, 2008

Practice Location

Address
3070 HIGHWAY 17 N
Address 2
SUITE 202
ZIP Code
29466-9300
Phone
(843) 881-8346

Authorized Official

Name
DR. THOMAS RUSSELL WIETERS, M.D.
Title
OWNER
Phone
(843) 881-8346

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery

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