RICHARD WIESEMANN

Medical Physician Assistant

NPI: 1629220488IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA-2733(ID)

Physician Assistant

Physician Assistant

Code: 363A00000X

MT 543(MT)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2008

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Contact & Hours

Address: 980 W IRONWOOD DR STE 104
COEUR D ALENE, ID 83814
Phone: (208) 667-0621

Locations (2)

Practice Location

980 W IRONWOOD DR STE 104, COEUR D ALENE, ID

Practice Location

700 W IRONWOOD DR STE 120, COEUR D ALENE, ID

Quick Facts

NPI: 1629220488
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 18

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