Collier Wiese, PA-C

NPI 1003896382 · on the registry since 2006

Practice

Address: 1541 Gull Rd
Suite 200
Kalamazoo, MI 49048
Phone: (269) 343-1264
Fax: (269) 343-9555
Organisation at this address: Premier Medical Care
Neurosurgery Of Kalamazoo, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan