Wiese, Dean S.

Wiese, Dean S. is an individual health care provider with primary practice located at 403 Black Hills Ln Sw Ste A , Olympia WA 98502-8600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wiese, Dean S. can be contacted via phone (360) 705-0421.

Contact Information

Primary practice address
403 Black Hills Ln Sw Ste A Olympia WA 98502-8600
Phone: (360) 705-0421
Fax: (360) 705-0493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD00030693 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00030693 Washington

Profile Details

NPI number 1598799777
LBN Legal business name Wiese, Dean S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 13th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598799777 NPPES
Washington Other 5007947 GROUP HEALTH
Washington Other MD00030693 GROUP HEALTH
Washington MEDICAID 1810019 GROUP HEALTH
Washington Other 44789 GROUP HEALTH
Washington Other 953646046 GROUP HEALTH
Washington Other WI0066 GROUP HEALTH

Popular Providers