JON D WIESE MD FACS PA

Surgery

Active Organization
NPI: 1902078512

Practice Address

521 W STATE ROAD 434
SUITE 305
Longwood, FL 32750

Phone: (407) 332-1995

Specialties

Specialty Code Primary License
Surgery 208600000X Yes ME54060 (FL)

Frequently Asked Questions

NPI 1902078512 is the National Provider Identifier for JON D WIESE MD FACS PA, a Surgery provider located in Longwood, FL. This NPI was enumerated on March 24, 2008.

Quick Facts

NPI
1902078512
Type
Organization
Enumerated
Mar 24, 2008
Last Updated
Apr 3, 2008

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