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Dan Wiese, RPH

NPI 1245781103 · on the registry since 2016

Practice

Address
1601 18th St
Silvis, IL 61282
Phone
(309) 796-3673
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-16

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 Illinois