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Philipp Alexander Wiesner, MD
Interventional Cardiology Physician in Springfield, Missouri
NPI 1609162817

Philipp Alexander Wiesner is a Interventional Cardiology Physician based in Springfield, MO and is specialized in Interventional Cardiology. Philipp Alexander Wiesner practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Philipp Alexander Wiesner is 1609162817 and holds a License No. A126482 (Missouri).

The current practice location address for Philipp Alexander Wiesner is 3800 S National Ave, Springfield, MO and can be reached out via phone at 417-875-2718 and via fax at 417-875-3737.

Location: 3800 S National Ave, Springfield, MO, 65807-5155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609162817
Provider Name
Philipp Alexander Wiesner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3800 S National Ave, Springfield, MO, 65807-5155
Phone Number
417-875-2718
Fax Number
417-875-3737
Provider Enumeration Date
06/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200069960 05 MO
institution
Provider Business Practice Location Address Details
Address
3800 S National Ave
City
Springfield
State
Missouri
Zip
65807-5209
Phone Number
417-875-2718
Fax Number
417-875-3737
person
Provider Business Mailing Address Details
Address
3800 S National Ave
City
Springfield
State
Missouri
Zip
65807-5209
Phone Number
417-875-2718
Fax Number
417-875-3737
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
2019015689 (Missouri)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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.
A126482 (California)
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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