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RICHARD WIESEMANN
Medical Physician Assistant
NPI: 1629220488IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician Assistant
Physician Assistant
Code: 363A00000X
MT 543(MT)
Medical Physician AssistantPrimary
Physician Assistant — Medical
Code: 363AM0700X
PA-2733(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2008
Contact & Hours
- Address
- 980 W IRONWOOD DR STE 104
COEUR D ALENE, ID 83814 - Phone
- (208) 667-0621
Quick Facts
- NPI
- 1629220488
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 18
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