DAVID CHARLES WIESNER

EMMAUS COUNSELING SERVICE PS

Dr DAVID CHARLES WIESNER is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1986.

Contact

EMMAUS COUNSELING SERVICE PS

8290 165TH AVE NE
REDMOND
WA
980523948

Tel: 4258692644

DAVID CHARLES WIESNER Information

Npi 1265410286
Pac Id 5193087872
Professional Enrollment Id I20180316000120
Last Name WIESNER
First Name DAVID
Middle Name CHARLES
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1986
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EMMAUS COUNSELING SERVICE PS
Group Practice Pac Id 5193726701
Number Of Group Practice Members 7
Line 1 Street Address 8290 165TH AVE NE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City REDMOND
State WA
Zip Code 980523948
Phone Number 4258692644
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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