Dean S. Wiese is a Adult Medicine in Olympia, Washington. Dean S. Wiese practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Dean S. Wiese is 1598799777. The last update date is 2010-01-13.
Dean S. Wiese's current location address is 403 Black Hills Ln Sw Ste A, Olympia, Washington. You can contact this provider via phone number 3607050421 and fax number 3607050493. The mailing address for Dean S. Wiese is 403 Black Hills Ln Sw Ste A, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean S. Wiese |
|---|---|
| Address | 403 Black Hills Ln Sw Ste A, Olympia, Washington |
| Phone Number | 3607050421 |
| Fax Number | 3607050493 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598799777 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2010-01-13 |
Provider Mailing Address Detail
| Address | 403 Black Hills Ln Sw Ste A |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985028600 |
| Phone Number | 3607050421 |
| Fax Number | 3607050493 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | MD00030693 |
|
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5007947 | WA | GROUP HEALTH | |
| MD00030693 | WA | WA STATE LICENSE | |
| 1810019 | WA | -- | |
| 44789 | WA | L&I WORKERS COMP | |
| 953646046 | WA | TAX ID | |
| WI0066 | WA | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Dean S. Wiese by the Centers for Medicare & Medicaid Services (CMS)?
The Dean S. Wiese has been assigned the NPI (National Provider Identifier) 1598799777. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Dean S. Wiese is physically located?
The Dean S. Wiese is physically situated at the following address: 403 Black Hills Ln Sw Ste A, Olympia, WA, 985028600.
What is the Dean S. Wiese's specialty and taxonomy code?
The Dean S. Wiese's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598799777 to Dean S. Wiese?
The Dean S. Wiese received its 1598799777 assignment from the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date were the Dean S. Wiese's details last updated?
The information pertaining to the Dean S. Wiese, including its address, specialty, and other details, was most recently updated on 2010-01-13.