MICHAEL WIESNER, D.D.S
Dentist - General Practice
Active
Individual
NPI: 1154524817
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Oral & Maxillofacial Surgery | 204E00000X | No | 5831 (LA) |
| Dentist - General Practice | 1223G0001X | Yes | 5831 (LA) |
Frequently Asked Questions
NPI 1154524817 is the National Provider Identifier for MICHAEL WIESNER, D.D.S, a Dentist - General Practice provider located in Shreveport, LA. This NPI was enumerated on June 8, 2007.
MICHAEL WIESNER, D.D.S practices at 385 BERT KOUNS LOOP STE 700, Shreveport, LA 71106.
Quick Facts
- NPI
- 1154524817
- Type
- Individual
- Enumerated
- Jun 8, 2007
- Last Updated
- Mar 11, 2025
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