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1164401105
RUSSELL H WIESNER
ROCHESTER, MN
NPI
1164401105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MN 22976)
Enumeration Date
2006-01-10
Last Update Date
2007-07-08
Business Address
-- RUSSELL H WIESNER M.D.
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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Mailing Address
-- RUSSELL H WIESNER M.D.
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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