JON WIESE, MD

Surgery

Active Individual
NPI: 1952474561

Practice Address

521 W STATE ROAD 434
SUITE 301
Longwood, FL 32750

Phone: (407) 767-5808

Specialties

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

Frequently Asked Questions

NPI 1952474561 is the National Provider Identifier for JON WIESE, MD, a Surgery provider located in Longwood, FL. This NPI was enumerated on November 15, 2006.
JON WIESE, MD practices at 521 W STATE ROAD 434, SUITE 301, Longwood, FL 32750.

Quick Facts

NPI
1952474561
Type
Individual
Enumerated
Nov 15, 2006
Last Updated
Nov 14, 2016

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