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MICHAEL R. WIESNER DDS LLC

Organization (NPI-2) Active

Dentist, General Practice

Provider Information

NPI Number
1750101606
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
385 BERT KOUNS LOOP STE 700, SHREVEPORT, LA, 711068163
Phone
(318) 688-9330
Fax
(318) 212-6539

Specialties & Taxonomies

Dentist, General Practice Primary

All Addresses

MAILING

2557 VIKING DR

BOSSIER CITY, LA, 711112103

(318) 606-7622

LOCATION

385 BERT KOUNS LOOP STE 700

SHREVEPORT, LA, 711068163

(318) 688-9330