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1538137005
MICHAEL B WIESE
SYRACUSE, NY
NPI
1538137005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NY 175162)
Enumeration Date
2006-03-10
Last Update Date
2010-01-22
Business Address
Mr. MICHAEL B WIESE M.D.
183 INTREPID LN
SYRACUSE, NY 13205-2548
Phone number: 315-251-0401
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Mailing Address
Mr. MICHAEL B WIESE M.D.
183 INTREPID LN
SYRACUSE, NY 13205-2548
Phone number: 315-251-0401
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