Dr KURT ALAN WIESE is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1988 from University Of Illinois At Chicago Health Science Center.
401 WALL ST B
VALAPARAISO
IN
463832585
Tel:
| Npi | 1659470250 |
| Pac Id | 2365623675 |
| Professional Enrollment Id | I20110228000917 |
| Last Name | WIESE |
| First Name | KURT |
| Middle Name | ALAN |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1988 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 401 WALL ST B |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VALAPARAISO |
| State | IN |
| Zip Code | 463832585 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 140242 |
| Hospital Affiliation Lbn 1 | CENTRAL DUPAGE HOSPITAL |
| Hospital Affiliation Ccn 2 | 150035 |
| Hospital Affiliation Lbn 2 | PORTER REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 150034 |
| Hospital Affiliation Lbn 3 | ST MARY MEDICAL CENTER INC |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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