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THERON WIESE, PA-C
PA-C
Medical Physician Assistant
NPI: 1841648862IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician AssistantPrimary
Physician Assistant — Medical
Code: 363AM0700X
PA184738(OR)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 1395 COMMERCIAL ST SE
SALEM, OR 97302 - Phone
- (503) 990-7187
Quick Facts
- NPI
- 1841648862
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 9
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