| Dr Kristine Elizabeth Wiese, MD | |
|
2277 Highway 36 W, Roseville, MN 55113-3804 | |
| (612) 255-0628 | |
| (612) 255-0647 |
| Full Name | Dr Kristine Elizabeth Wiese |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Forensic Psychiatry |
| Location | 2277 Highway 36 W, Roseville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073535977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | 39360 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristine Elizabeth Wiese, MD Po Box 2182, Burnsville, MN 55337-0008 Ph: (612) 670-1321 | Dr Kristine Elizabeth Wiese, MD 2277 Highway 36 W, Roseville, MN 55113-3804 Ph: (612) 255-0628 |
Paul Brian Atkinson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248 | |
Dr. Karla Lynn De Beck, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2345 Rice St Ste 230, Roseville, MN 55113 Phone: 800-997-6196 Fax: 833-523-9924 | |
Lindsay Merriman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2990 Centre Pointe Dr, Roseville, MN 55113 Phone: 651-638-1560 Fax: 651-638-1580 | |
Julie Estelle Macbain Hanna, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248 | |
Dr. Palak Shah, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248 | |
Serena Thompson, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 |