MEGAN S K WIESE MD PC NPI 1033394002

NPI Information

MEGAN S K WIESE MD PC is an obstetrics gynecology in Lake Havasu City, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MEGAN S K WIESE MD PC NPI is 1033394002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2130 MESQUITE AVE UNIT 106
LAKE HAVASU CITY, AZ
ZIP 86403-897
Phone: (928) 854-6249
Fax: (928) 854-6301

The provider's authorized official is Doug Wiese .
The authorized official title is Office Manager and has the following contact phone number (928) 854-6249.

The CLIA number assigned to this NPI record is 03D1056192 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/8/2008 and was last updated on 10/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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