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1326493073
MICAH WIESNER
GARDEN CITY, KS
NPI
1326493073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-05-02
Last Update Date
2020-03-09
Business Address
MICAH WIESNER PA
712A SAINT JOHN ST
GARDEN CITY, KS 67846-5128
Phone number: 620-275-1766
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Mailing Address
MICAH WIESNER PA
712 SAINT JOHN ST
GARDEN CITY, KS 67846-5128
Phone number:
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