Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB ANTHONY WIESEN, M.D.
Active Sole ProprietorDR. JACOB ANTHONY WIESEN, M.D. is a General Practice healthcare provider located in FREMONT, Nebraska. NPI 1831317346 is currently active in the NPPES registry. Verify at CMS.
General Practice · FREMONT, NE
Registration Details
- NPI Number
- 1831317346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2007 (19.324120911105 yrs)
- Last Updated
- Jan 21, 2016
- License
-
5413 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2540 N HEALTHY WAYFREMONT, NE, 680252315Browse NE providers · Browse ZIP 68025
- Phone
- 4027216333
- Primary Specialty
-
General Practice
208D00000X
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.