Diem Wiesen

NPI #1720637556 in Ruskin, Florida

Provider Information

NPI Number
1720637556
Entity Type
Individual
Name
Diem Wiesen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 4, 2019
Last Updated
Sep 4, 2019

Practice Location

Address
1619 BROAD WINGED HAWK DR
City
Ruskin
State
Florida
ZIP Code
33570-4955
Phone
(440) 590-3071

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner - FamilyFamily

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