Wiese, Wendy E

Wiese, Wendy E is an individual health care provider with primary practice located at 430 E Division St Suite 4, Fond Du Lac WI 54935-4560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wiese, Wendy E can be contacted via phone (920) 926-2300.

Contact Information

Primary practice address
430 E Division St Suite 4 Fond Du Lac WI 54935-4560
Phone: (920) 926-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 147926 Wisconsin

Profile Details

NPI number 1336125053
LBN Legal business name Wiese, Wendy E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1336125053 NPPES
Wisconsin Other P00187576 RAILROAD MEDICARE
Wisconsin MEDICAID 44333400 RAILROAD MEDICARE

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