Wiesler, Ethan Ron

Wiesler, Ethan Ron is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Wiesler, Ethan Ron can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-8018
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 96-00222 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 9600222 North Carolina

Profile Details

NPI number 1538146147
LBN Legal business name Wiesler, Ethan Ron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Aug 20th, 2020 - about 4 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 1538146147 NPPES
Other 126FF BCBS
Other 2280373A BCBS
Other 36195 BCBS
Other 7122310 BCBS
MEDICAID 89126FF BCBS
Other 98579 BCBS
Other 200043944 BCBS
MEDICAID 1850002000 BCBS
MEDICAID 6402941 BCBS

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