EMILY WIESE

MERIDIAN, ID
NPI1710616040
Other NameEMMA WIESE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2650)
Enumeration Date2022-06-10
Last Update Date2023-12-13
Business Address
EMILY WIESE PA-C
2347 E GALA ST STE 150
MERIDIAN, ID 83642-4881
Phone number: 208-345-3530
Mailing Address
EMILY WIESE PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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