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Primary Practice Address
980 W IRONWOOD DR STE 104
COEUR D ALENE, ID 83814-2668 US
Accepts Medicare Payment

PECOS Enrolled

Richard Lee Wiesemann

Physician Assistant (Medical)


Richard Lee Wiesemann

Overview

Richard Lee Wiesemann is a Physician Assistant (Medical) in the COEUR D ALENE area and has over 17 years of experience. Richard Lee Wiesemann primary office location is at 980 W IRONWOOD DR STE 104 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2008

Richard Lee Wiesemann is affiliated with five hospitals in the COEUR D ALENE area, including BITTERROOT HEALTH - DALY HOSPITAL. The NPI number is 1629220488 and the information was updated approximately 1 year ago.

Richard Lee Wiesemann is part of two medical groups, including FIVE VALLEYS UROLOGY.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
980 W IRONWOOD DR STE 104
COEUR D ALENE, ID 83814-2668 US
Phone: (208)-667-0621
Fax:
Practice Mailing Information
1555 LIBERTY LN STE C
MISSOULA, MT 83814-2668 US
Phone: (406)-728-9545
Fax:

Practice Location Addresses: 2

License NumberState
MT 543MT
PA-2733ID