FREDERICK K WIESE

MASCOMA COMMUNITY HEALTHCARE INC

Dr FREDERICK K WIESE is a male medical professional, specializing in Internal Medicine. He graduated in 1979.

Contact

MASCOMA COMMUNITY HEALTHCARE INC

18 ROBERTS RD
CANAAN
NH
037417644

Tel: 6035234343

FREDERICK K WIESE Information

Npi 1194739672
Pac Id 0547340853
Professional Enrollment Id I20190410002560
Last Name WIESE
First Name FREDERICK
Middle Name K
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1979
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MASCOMA COMMUNITY HEALTHCARE INC
Group Practice Pac Id 2466736525
Number Of Group Practice Members 5
Line 1 Street Address 18 ROBERTS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANAAN
State NH
Zip Code 037417644
Phone Number 6035234343
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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