MR. RICHARD WIESEMANN II
Physician Assistant - Medical
Active
Individual
NPI: 1629220488
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | MT 543 (MT) |
| Physician Assistant - Medical | 363AM0700X | Yes | PA-2733 (ID) |
Frequently Asked Questions
NPI 1629220488 is the National Provider Identifier for MR. RICHARD WIESEMANN II, a Physician Assistant - Medical provider located in Coeur D Alene, ID. This NPI was enumerated on October 10, 2008.
MR. RICHARD WIESEMANN II practices at 980 W IRONWOOD DR STE 104, Coeur D Alene, ID 83814.
Quick Facts
- NPI
- 1629220488
- Type
- Individual
- Enumerated
- Oct 10, 2008
- Last Updated
- Jul 18, 2024
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