WILLIAM WIETIES

LUMBERTON, NC
NPI1104958412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  102562)
Enumeration Date2007-03-12
Last Update Date2014-03-28
Business Address
-- WILLIAM WIETIES CRNA
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5000
Mailing Address
-- WILLIAM WIETIES CRNA
2600 N ELM ST
LUMBERTON, NC 28358-3011
Phone number: 910-671-5290
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