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Michelle Wiese, MD
NPI 1003348343 · on the registry since 2017
Practice
- Address
- 909 E State Blvd
Fort Wayne, IN 46805 - Phone
- (260) 481-2700
- Fax
- (260) 481-2838
- Organisation at this address
- Park Center Inc
Park Center Inc
Park Center, Inc.
Genoa Healthcare LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 274
Additional practice sites
- 1720 Beacon St, Fort Wayne, IN
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- Psychiatry
390200000X - Licence states on file
- WA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana