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Contact Information

AMY WIESE
50 W BIG BEAVER RD STE 280
BLOOMFIELD HILLS, MI48304-3912
 Phone: 248-322-3362
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for AMY WIESE · (Female)

NPI Number 1003465493
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2019
Last updated 09/09/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 1144430133
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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