JON D WIESE MD FACS PA

LONGWOOD, FL
NPI1902078512
Entity TypeOrganization
Authorized ContactJON D. WIESE
President
407-332-1995
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: FL  ME54060)
Enumeration Date2008-03-24
Last Update Date2008-04-03
Business Address
JON D WIESE MD FACS PA
521 W STATE ROAD 434 SUITE 305
LONGWOOD, FL 32750-4984
Phone number: 407-332-1995
Mailing Address
JON D WIESE MD FACS PA
521 W STATE ROAD 434 SUITE 305
LONGWOOD, FL 32750-4984
Phone number: 407-332-1995
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