| Dr Jill Katherine Wieser, MD | |
| 7840 Vinewood Ln N, Maple Grove, MN 55369-7185 | |
| (763) 236-0200 | |
| Not Available | 
| Full Name | Dr Jill Katherine Wieser | 
|---|---|
| Gender | Female | 
| Speciality | Dermatology | 
| Location | 7840 Vinewood Ln N, Maple Grove, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902398779 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | PEND (Ohio) | Secondary | 
| 207N00000X | Dermatology | 76583 (Minnesota) | Primary | 
| Entity Name | Allina Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jill Katherine Wieser, MD 7840 Vinewood Ln N, Maple Grove, MN 55369-7185 Ph: () - | Dr Jill Katherine Wieser, MD 7840 Vinewood Ln N, Maple Grove, MN 55369-7185 Ph: (763) 236-0200 | 
| Jeannie Therese Larson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Lane N, Maple Grove, MN 55369 Phone: 952-993-3260 | |
| Ronda Farah, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1570 Fax: 763-898-1576 | |
| Dr. Kathleen Maccarthy Demanivel, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
| Dr. Sheilagh M Maguiness, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
| Amrita Goyal-o'leary,  Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-3376 | |
| Heidi G H Cole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Lane North, Maple Grove, MN 55369 Phone: 952-993-1440 |