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1790865004
WOLFGANG JOHANNES WEISE
BURLINGTON, VT
NPI
1790865004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: VT 42-0008800)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. WOLFGANG JOHANNES WEISE M.D.
1 S PROSPECT ST 2318 REHAB.BLDG, UHC
BURLINGTON, VT 05401-3456
Phone number: 802-847-3572
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Mailing Address
Dr. WOLFGANG JOHANNES WEISE M.D.
136 N PROSPECT ST
BURLINGTON, VT 05401-3347
Phone number: 802-660-4910
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