LAURA MARIE WIESE

SPRINGFIELD, OR
NPI1720485329
Former NameLAURA MARIE GENETTI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: OR  100002649)
Enumeration Date2014-11-25
Last Update Date2023-08-28
Business Address
LAURA MARIE WIESE CNM
3100 MARTIN LUTHER KING JR PKWY
SPRINGFIELD, OR 97477-7514
Phone number: 541-868-9700
Mailing Address
LAURA MARIE WIESE CNM
PO BOX 70368
SPRINGFIELD, OR 97475-0120
Phone number: 541-485-2777
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