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1043265200
CHAD MICHAEL WIESE
WASHINGTON, IA
NPI
1043265200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 08209)
Enumeration Date
2006-05-24
Last Update Date
2014-10-28
Business Address
Dr. CHAD MICHAEL WIESE D.D.S.
1004 E WASHINGTON ST
WASHINGTON, IA 52353-2149
Phone number: 319-653-2201
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Mailing Address
Dr. CHAD MICHAEL WIESE D.D.S.
1004 E WASHINGTON ST
WASHINGTON, IA 52353-2149
Phone number: 319-653-2201
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