| Dr Nicholas Wiese, DDS | |
|
417 Lincoln Ave Nw, Faribault, MN 55021-4952 | |
| (507) 332-7608 | |
| Not Available |
| Full Name | Dr Nicholas Wiese |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 417 Lincoln Ave Nw, Faribault, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104814029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11401 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Wiese, DDS 417 Lincoln Ave Nw, Faribault, MN 55021-4952 Ph: (507) 332-7608 | Dr Nicholas Wiese, DDS 417 Lincoln Ave Nw, Faribault, MN 55021-4952 Ph: (507) 332-7608 |
Dr. Archana Kaustubh Alegaonkar, Dentist Medicare: Medicare Enrolled Practice Location: 200 Western Ave Nw, Suite A3a, Faribault, MN 55021 Phone: 507-333-2028 Fax: 507-333-2038 | |
Teddy J Erickson, Dentist Medicare: Medicare Enrolled Practice Location: 1575 20th Street Northwest, Suite 102, Faribault, MN 55021 Phone: 507-334-6433 Fax: 507-334-0044 | |
Thomas Jason Nomeland, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 412 Heritage Pl, Faribault, MN 55021 Phone: 507-334-7595 | |
Linda M Maytan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 4th St Nw, Suite A3a, Faribault, MN 55021 Phone: 507-384-6830 Fax: 651-431-5575 | |
Abigail Malmanger, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1575 20th St Nw Ste 102, Faribault, MN 55021 Phone: 507-334-6433 | |
Peter Jon Thurnau, Dentist Medicare: Medicare Enrolled Practice Location: 1575 20th Street Northwest, Suite 102, Faribault, MN 55021 Phone: 507-334-6433 Fax: 507-334-0044 |