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Dr. Lisa Marie Wieler, MD
Diagnostic Radiology Physician in San Luis Obispo, California
NPI 1316011083

Lisa Marie Wieler is a Diagnostic Radiology Physician based in San Luis Obispo, CA and is specialized in Diagnostic Radiology. Lisa Marie Wieler practices in San Luis Obispo, CA and has the professional credentials of MD. The NPI Number for Lisa Marie Wieler is 1316011083 and holds a License No. G46986 (California).

The current practice location address for Lisa Marie Wieler is 1100 Monterey St, San Luis Obispo, CA and can be reached out via phone at 805-542-9700 and via fax at 805-542-0584.

Location: 1100 Monterey St, San Luis Obispo, CA, 93401-3102
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Provider Profile Details
NPI Number
1316011083
Provider Name
Lisa Marie Wieler
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1100 Monterey St, San Luis Obispo, CA, 93401-3102
Phone Number
805-542-9700
Fax Number
805-542-0584
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CH9716 01 CA CHAMPUS
G46986 01 CA LICENSE
P00138584 01 CA RAILROAD MEDICARE
00G19230 05 CA
institution
Provider Business Practice Location Address Details
Address
1100 Monterey St
City
State
Zip
93401-3102
Phone Number
805-542-9700
Fax Number
805-542-0584
person
Provider Business Mailing Address Details
Address
1100 Monterey St
City
State
Zip
93401-3102
Phone Number
805-542-9700
Fax Number
805-542-0584
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
G46986 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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