KENNETH NIEL WIESERT

INDIANAPOLIS, IN
NPI1538110101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN  01026404A)
Enumeration Date2006-05-16
Last Update Date2007-07-13
Business Address
-- KENNETH NIEL WIESERT MD
5868 E 71ST ST #123
INDIANAPOLIS, IN 46220-4002
Phone number: 317-885-2334
Mailing Address
-- KENNETH NIEL WIESERT MD
4412 RADNOR RD
INDIANAPOLIS, IN 46226-2150
Phone number:
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