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Dr. Kathleen Marie Wiese, DO
Neurology Physician in Winston Salem, North Carolina
NPI 1790987923

Kathleen Marie Wiese is a Neurology Physician based in Charlotte, NC and is specialized in Neurology. Kathleen Marie Wiese practices in Winston Salem, NC and has the professional credentials of DO. The NPI Number for Kathleen Marie Wiese is 1790987923 and holds a License No. 2007-01475 (North Carolina).

The current practice location address for Kathleen Marie Wiese is 3333 Silas Creek Pkwy, Winston Salem, NC and can be reached out via phone at 336-718-7597 and via fax at 336-718-7598. You can also correspond with Kathleen Marie Wiese through the mailing address at PO BOX 60447, CHARLOTTE, NC - 28260-0447 (mailing address contact number: 336-718-7597).

Location: 3333 Silas Creek Pkwy, Winston Salem, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790987923
Provider Name
Kathleen Marie Wiese
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3333 Silas Creek Pkwy, Winston Salem, NC, 28260-0447
Phone Number
336-718-7597
Fax Number
336-718-7598
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2007-01475 01 NC NC MED BOARD LICENSE
5907596 05 NC
1457P 01 NC BCBS NC
P00414192 01 NC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3333 Silas Creek Pkwy
City
Winston Salem
State
North Carolina
Zip
27103-3013
Phone Number
336-718-7597
Fax Number
336-718-7598
person
Provider Business Mailing Address Details
Address
3333 Silas Creek Pkwy
City
Winston Salem
State
North Carolina
Zip
27103-3013
Phone Number
336-718-7597
Fax Number
336-718-7598
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
2007-01475 (North Carolina)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Vascular Neurology
Taxonomy
2084V0102X
License No.
2007-01475 (North Carolina)
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
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