MS. Ann W Wieseke, NURSE PRACTITIONER

NPI #1619954179 in Muncie, Indiana

Provider Information

NPI Number
1619954179
Entity Type
Individual
Name
MS. Ann W Wieseke, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NURSE PRACTITIONER
Enumeration Date
Dec 27, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
240 N TILLOTSON AVE
City
Muncie
State
Indiana
ZIP Code
47304-3988
Phone
(765) 254-5103

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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