Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KRISTINE ELIZABETH WIESE, M.D.
Active Sole ProprietorDR. KRISTINE ELIZABETH WIESE, M.D. is a Forensic Psychiatry healthcare provider located in ROSEVILLE, Minnesota. NPI 1073535977 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychiatry · ROSEVILLE, MN
Registration Details
- NPI Number
- 1073535977
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2006 (20.078435222672 yrs)
- Last Updated
- Jul 21, 2022
- License
-
39360 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2277 HIGHWAY 36 WROSEVILLE, MN, 551133804Browse MN providers · Browse ZIP 55113
- Phone
- 6122550628
- Fax
- 6122550647
- Primary Specialty
-
Forensic Psychiatry
2084F0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.