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1003075532
STEVEN WIESE
ODESSA, TX
NPI
1003075532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX p7870)
Enumeration Date
2008-06-09
Last Update Date
2014-08-19
Business Address
Dr. STEVEN WIESE MD
4236 E EVERGLADE AVE
ODESSA, TX 79762-7136
Phone number: 979-575-8119
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Mailing Address
Dr. STEVEN WIESE MD
4236 E EVERGLADE AVE
ODESSA, TX 79762-7136
Phone number: 979-575-8119
Copy
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