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Mark Wiesner, PH.D

NPI 1205072931 · on the registry since 2008 · sole proprietor

Practice

Address
5677 Oberlin Dr Ste 106
San Diego, CA 92121
Phone
(858) 457-8419
Fax
(858) 457-0670
Organisation at this address
Sooil Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-12-30

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 California