Wiese, Kristine Elizabeth
Wiese, Kristine Elizabeth is an sole proprietor health care provider with primary practice located at 2277 Highway 36 W , Roseville MN 55113-3804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as her primary health care specialty. Wiese, Kristine Elizabeth can be contacted via phone (612) 255-0628.Contact Information
Primary practice address
2277 Highway 36 W
Roseville MN 55113-3804
Phone: (612) 255-0628
Fax: (612) 255-0647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 39360 | Minnesota |
Profile Details
| NPI number | 1073535977 |
|---|---|
| LBN Legal business name | Wiese, Kristine Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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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