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Dr. Jacob Anthony Wiesen, MD
General Practice Physician in Fremont, Nebraska
NPI 1831317346

Jacob Anthony Wiesen is a General Practice Physician based in Fremont, NE. Jacob Anthony Wiesen practices in Fremont, NE and has the professional credentials of MD. The NPI Number for Jacob Anthony Wiesen is 1831317346 and holds a License No. 5413 (Nebraska).

The current practice location address for Jacob Anthony Wiesen is 2540 N Healthy Way, Fremont, NE and can be reached out via phone at 402-721-6333. You can also correspond with Jacob Anthony Wiesen through the mailing address at 2540 N HEALTHY WAY, FREMONT, NE - 68025-2315 (mailing address contact number: 402-721-6333).

Location: 2540 N Healthy Way, Fremont, NE, 68025-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831317346
Provider Name
Jacob Anthony Wiesen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2540 N Healthy Way, Fremont, NE, 68025-2315
Phone Number
402-721-6333
Fax Number
Provider Enumeration Date
04/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2540 N Healthy Way
City
Fremont
State
Nebraska
Zip
68025-2315
Phone Number
402-721-6333
Fax Number
person
Provider Business Mailing Address Details
Address
2540 N Healthy Way
City
Fremont
State
Nebraska
Zip
68025-2315
Phone Number
402-721-6333
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
5413 (Nebraska)
Definition
Definition to come...
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