Wiese, Megan Sk

Wiese, Megan Sk is an individual health care provider with primary practice located at 2130 Mesquite Ave Unit 106 , Lake Havasu City AZ 86403-6897. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wiese, Megan Sk can be contacted via phone (928) 854-6249.

Contact Information

Primary practice address
2130 Mesquite Ave Unit 106 Lake Havasu City AZ 86403-6897
Phone: (928) 854-6249
Fax: (928) 854-6301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 29168 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A67033 California

Profile Details

NPI number 1407865868
LBN Legal business name Wiese, Megan Sk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 2nd, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407865868 NPPES
Arizona Other AZ0735830 BCBS
Arizona MEDICAID 577091 BCBS

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