Andrew Richard Wiesen in Puyallup - Internal Medicine
Andrew Richard Wiesen - NPI 1104896836
Andrew Richard Wiesen is a Internal Medicine in Puyallup, Washington. Andrew Richard Wiesen practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Andrew Richard Wiesen is 1104896836. The last update date is 2007-07-08.
Andrew Richard Wiesen's current location address is 13501 152nd Street Ct E, Puyallup, Washington. You can contact this provider via phone number 2539684475. The mailing address for Andrew Richard Wiesen is 13501 152nd Street Ct E, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Richard Wiesen |
|---|---|
| Address | 13501 152nd Street Ct E, Puyallup, Washington |
| Phone Number | 2539684475 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104896836 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13501 152nd Street Ct E |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983749244 |
| Phone Number | 2539684475 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 33777 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identification code assigned to Andrew Richard Wiesen by the Centers for Medicare & Medicaid Services?
The Andrew Richard Wiesen has been issued the NPI (National Provider Identifier) 1104896836. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Andrew Richard Wiesen?
The Andrew Richard Wiesen is situated at 13501 152Nd Street Ct E, in the city of Puyallup, state of WA, with the zip code 983749244.
What is Andrew Richard Wiesen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Andrew Richard Wiesen is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104896836 to Andrew Richard Wiesen?
The Andrew Richard Wiesen received its 1104896836 assignment from the Centers for Medicare & Medicaid Services on 2006-01-25.
When was the Andrew Richard Wiesen's information last updated?
The Andrew Richard Wiesen's information was last updated on 2007-07-08.