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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNA WIESE

Active

JENNA WIESE is a Physician Assistant healthcare provider located in PILLAGER, Minnesota. NPI 1174197883 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PILLAGER, MN

Registration Details

NPI Number
1174197883
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2021 (5.2196365530689 yrs)
Last Updated
Mar 10, 2022
License
13798 (MN)

Practice Information

Address
680 PILLSBURY ST N
PILLAGER, MN, 564732507
Browse MN providers · Browse ZIP 56473
Phone
2187464527
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PILLAGER, MN

Name Credential NPI
PAIGE I BLONG PA 1306494893
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.