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Thomas Russell Wieters, M.d., P.a.
Vascular Surgery Physician in Mount Pleasant, South Carolina
NPI 1518149350

Thomas Russell Wieters, M.d., P.a. is a Vascular Surgery Physician based in Mount Pleasant, SC and is specialized in Vascular Surgery. Thomas Russell Wieters, M.d., P.a. practices in Mount Pleasant, SC. The NPI Number for Thomas Russell Wieters, M.d., P.a. is 1518149350 and holds a License No. 10486 (South Carolina).

The current practice location address for Thomas Russell Wieters, M.d., P.a. is 3070 Highway 17 N, Mount Pleasant, SC and can be reached out via phone at 843-881-8346 and via fax at 843-284-4093.

Location: 3070 Highway 17 N, Mount Pleasant, SC, 29466-9300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518149350
Provider Name
Thomas Russell Wieters, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
3070 Highway 17 N, Mount Pleasant, SC, 29466-9300
Phone Number
843-881-8346
Fax Number
843-284-4093
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104862 05 SC
institution
Provider Business Practice Location Address Details
Address
3070 Highway 17 N
City
Mount Pleasant
State
South Carolina
Zip
29466-9300
Phone Number
843-881-8346
Fax Number
843-284-4093
person
Provider Business Mailing Address Details
Address
3070 Highway 17 N
City
Mount Pleasant
State
South Carolina
Zip
29466-9300
Phone Number
843-881-8346
Fax Number
843-284-4093
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
10486 (South Carolina)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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