Douglas K Wiesner, ATC
NPI #1710925136 in Overland Park, Kansas
Provider Information
- NPI Number
- 1710925136
- Entity Type
- Individual
- Name
- Douglas K Wiesner, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 4, 2006
- Last Updated
- Oct 4, 2010
Practice Location
- Address
- 10777 NALL AVE
- Address 2
- SUITE 320
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66211-1362
- Phone
- (913) 663-2555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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