Wiese, Collier S
Wiese, Collier S is an individual health care provider with primary practice located at 1541 Gull Rd Suite 200, Kalamazoo MI 49048-1639. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wiese, Collier S can be contacted via phone (269) 343-1264.Contact Information
Primary practice address
1541 Gull Rd Suite 200
Kalamazoo MI 49048-1639
Phone: (269) 343-1264
Fax: (269) 343-9555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601002503 | Michigan |
Profile Details
| NPI number | 1003896382 |
|---|---|
| LBN Legal business name | Wiese, Collier S |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jun 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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