| Steven K Wiese, MD | |
|
404 W Fountain St, Albert Lea, MN 56007-2437 | |
| (507) 373-2384 | |
| Not Available |
| Full Name | Steven K Wiese |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 404 W Fountain St, Albert Lea, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396725156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 32822 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 32822 (Minnesota) | Primary |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven K Wiese, MD 404 W Fountain St, Albert Lea, MN 56007-2437 Ph: (507) 373-2384 | Steven K Wiese, MD 404 W Fountain St, Albert Lea, MN 56007-2437 Ph: (507) 373-2384 |
Edward Reece Shaman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Andrea Vanessa Caraccioli, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Michael David Ulrich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Anne Louise Gallion, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 404 Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Dr. Steven John Schulz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Duard Dewayne Birkhofer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Donald J.f. Kammerer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 |