Wiesner, Paul D

Wiesner, Paul D is an individual health care provider with primary practice located at 1800 E. Pavilion Place Suite B, Montrose CO 81401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wiesner, Paul D can be contacted via phone (970) 249-1210.

Contact Information

Primary practice address
1800 E. Pavilion Place Suite B Montrose CO 81401
Phone: (970) 249-1210
Fax: (970) 249-3057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25545 Colorado

Profile Details

NPI number 1841342854
LBN Legal business name Wiesner, Paul D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Feb 23rd, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841342854 NPPES
Other 45289 BLUECROSS BLUE SHIELD
MEDICAID 01255454 BLUECROSS BLUE SHIELD
Other 840851676003 BLUECROSS BLUE SHIELD
Other 0754950001 BLUECROSS BLUE SHIELD
Other 180002594 BLUECROSS BLUE SHIELD

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