TANYA A WIESE

LOUISVILLE, KY
NPI1992737886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: KY  02781)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN  02002644A)
Enumeration Date2006-07-07
Last Update Date2024-04-12
Business Address
TANYA A WIESE D.O.
4950 NORTON HEALTHCARE BLVD STE 208
LOUISVILLE, KY 40241-2847
Phone number: 502-614-4179
Mailing Address
TANYA A WIESE D.O.
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490