Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD LEE WIESEMANN II
ActiveMedical Physician Assistant · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1629220488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2008 (17.531283436598 yrs)
- Last Updated
- Jul 18, 2024
- Licenses
-
MT 543 (MT)PA-2733 (ID)
Practice Information
- Address
-
980 W IRONWOOD DR STE 104COEUR D ALENE, ID, 838142668Browse ID providers · Browse ZIP 83814
- Phone
- 2086670621
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| AMANDA L FIOLA | PA-C | 1861484701 |
| STUART T SHARP | PA | 1841248929 |
| HEATHER SARKIS | PA-C | 1023118122 |
| MR. DOUGLAS DUNCAN | PA-C | 1366509507 |
| MR. JEREMY ALLEN | PA-C | 1124205661 |
| MRS. LESLEY SUSANNE ROBERTS | PA-C | 1568695062 |
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.