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Michelle Elise Wiese, MD
Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana
NPI 1003348343

Michelle Elise Wiese is a Student in an Organized Health Care Education/Training Program based in Fort Wayne, IN. Michelle Elise Wiese practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Michelle Elise Wiese is 1003348343 and holds a License No. MD60988236 (Indiana).

The current practice location address for Michelle Elise Wiese is 909 E State Blvd, Fort Wayne, IN and can be reached out via phone at 260-481-2700 and via fax at 260-481-2838.

Location: 909 E State Blvd, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003348343
Provider Name
Michelle Elise Wiese
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
909 E State Blvd, Fort Wayne, IN, 46845-1701
Phone Number
260-481-2700
Fax Number
260-481-2838
Provider Enumeration Date
03/28/2017
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003348343 05 WA
institution
Provider Business Practice Location Address Details
Address
909 E State Blvd
City
Fort Wayne
State
Indiana
Zip
46805-3404
Phone Number
260-481-2700
Fax Number
260-481-2838
person
Provider Business Mailing Address Details
Address
909 E State Blvd
City
Fort Wayne
State
Indiana
Zip
46805-3404
Phone Number
260-481-2700
Fax Number
260-481-2838
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
01093232A (Indiana)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD60988236 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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