Don Edward Wiese in Roseville - Diagnostic Radiology

Don Edward Wiese - NPI 1114908159

Don Edward Wiese is a Diagnostic Radiology in Roseville, Minnesota. Don Edward Wiese practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Don Edward Wiese is 1114908159. The last update date is 2021-07-22.

Don Edward Wiese's current location address is 2355 Highway 36 W Ste 100, Roseville, Minnesota. You can contact this provider via phone number 6512922000. The mailing address for Don Edward Wiese is 2355 Highway 36 W Ste 100, Roseville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Don Edward Wiese
Address 2355 Highway 36 W Ste 100, Roseville, Minnesota
Phone Number 6512922000
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114908159
Provider Enumeration Date 2005-11-08
Last Updated Date 2021-07-22

Provider Mailing Address Detail

Address 2355 Highway 36 W Ste 100
City Roseville
State Minnesota (MN)
Post Code 551133905
Phone Number 6512922000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 48546
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1114908159 MN --

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FAQs about Don Edward Wiese

What is the unique provider identifier assigned to Don Edward Wiese?

The Don Edward Wiese has been issued the NPI (National Provider Identifier) 1114908159 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Don Edward Wiese is geographically located?

The Don Edward Wiese is physically situated at the following location: 2355 Highway 36 W Ste 100, Roseville, MN, 551133905.

What is the area of specialization for Don Edward Wiese, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Don Edward Wiese is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

When did Don Edward Wiese receive its 1114908159 assignment?

The Don Edward Wiese was assigned its 1114908159 on 2005-11-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Don Edward Wiese most recently updated or revised?

The information pertaining to Don Edward Wiese, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-22.

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