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Kristine Wiese, M.D

NPI 1073535977 · on the registry since 2006 · sole proprietor

Practice

Address: 2277 Highway 36 W
Roseville, MN 55113
Phone: (612) 255-0628
Fax: (612) 255-0647
Organisation at this address: Live Better Llc
Intrepid Of Minnesota, Inc.
Brain Injury Association Of Minnesota
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Forensic Psychiatry Physician
2084F0202X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-21

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 Minnesota