DOUGLAS K WIESNER

OVERLAND PARK, KS
NPI1710925136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-00151)
Enumeration Date2006-06-04
Last Update Date2010-10-04
Business Address
-- DOUGLAS K WIESNER ATC
10777 NALL AVE SUITE 320
OVERLAND PARK, KS 66211-1362
Phone number: 913-663-2555
Mailing Address
-- DOUGLAS K WIESNER ATC
10701 NALL AVE SUITE 130
OVERLAND PARK, KS 66211-1363
Phone number: 913-663-2555
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