NICHOLAS WIESE

FARIBAULT, MN
NPI1104814029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MN  D11401)
Enumeration Date2005-10-13
Last Update Date2007-07-08
Business Address
Dr. NICHOLAS WIESE D.D.S.
417 LINCOLN AVE NW
FARIBAULT, MN 55021-4952
Phone number: 507-332-7608
Mailing Address
Dr. NICHOLAS WIESE D.D.S.
417 LINCOLN AVE NW
FARIBAULT, MN 55021-4952
Phone number: 507-332-7608