GEORG KRISTOFER WIESE

ORLANDO, FL
NPI1598184731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: FL  ME128351)
Additional Taxonomies208600000X Surgery
(Licence: FL  TRN20195)
Enumeration Date2014-04-15
Last Update Date2020-07-28
Business Address
GEORG KRISTOFER WIESE M.D.
2415 N ORANGE AVE STE 400
ORLANDO, FL 32804-5505
Phone number: 407-303-7399
Mailing Address
GEORG KRISTOFER WIESE M.D.
2415 N ORANGE AVE STE 400
ORLANDO, FL 32804-5505
Phone number: 407-303-7399
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