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1689994113
JONATHAN EDWARD WIESE
MILWAUKEE, WI
NPI
1689994113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WI 56819-20)
Enumeration Date
2010-06-07
Last Update Date
2023-11-30
Business Address
JONATHAN EDWARD WIESE M.D.
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Phone number: 414-805-6450
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Mailing Address
JONATHAN EDWARD WIESE M.D.
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6450
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