Collier S Wiese in Kalamazoo - Physician Assistant
Collier S Wiese - NPI 1003896382
Collier S Wiese is a Physician Assistant in Kalamazoo, Michigan. Collier S Wiese practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Collier S Wiese is 1003896382. The last update date is 2011-06-01.
Collier S Wiese's current location address is 1541 Gull Rd, Kalamazoo, Michigan. You can contact this provider via phone number 2693431264 and fax number 2693439555. The mailing address for Collier S Wiese is 1541 Gull Rd, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Collier S Wiese |
|---|---|
| Address | 1541 Gull Rd, Kalamazoo, Michigan |
| Phone Number | 2693431264 |
| Fax Number | 2693439555 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1003896382 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2011-06-01 |
Provider Mailing Address Detail
| Address | 1541 Gull Rd |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490481639 |
| Phone Number | 2693431264 |
| Fax Number | 2693439555 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002503 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Collier S Wiese by the Centers for Medicare & Medicaid Services?
The Collier S Wiese has been issued the NPI (National Provider Identifier) 1003896382 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Collier S Wiese is physically located?
The Collier S Wiese is situated at the following address: 1541 Gull Rd, Kalamazoo, MI 490481639.
What is Collier S Wiese's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Collier S Wiese's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003896382 to Collier S Wiese?
The Centers for Medicare & Medicaid Services assigned the 1003896382 to Collier S Wiese on 2006-01-20.
When was the Collier S Wiese's information last updated?
The Collier S Wiese's information was last updated on 2011-06-01.