MICAH WIESNER PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1326493073- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 712A SAINT JOHN ST, GARDEN CITY, KS, 678465128
- Phone
- (620) 275-1766
- Fax
- (620) 275-4729
Specialties & Taxonomies
Physician Assistant
Primary
All Addresses
MAILING
712 SAINT JOHN ST
GARDEN CITY, KS, 678465128