Dr Dean S Wiese, MD | |
403 Black Hills Ln Sw Ste A, Olympia, WA 98502-8600 | |
(360) 705-0421 | |
(360) 705-0493 |
Full Name | Dr Dean S Wiese |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 403 Black Hills Ln Sw Ste A, Olympia, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598799777 | NPI | - | NPPES |
5007947 | Other | WA | GROUP HEALTH |
MD00030693 | Other | WA | WA STATE LICENSE |
1810019 | Medicaid | WA | |
44789 | Other | WA | L&I WORKERS COMP |
953646046 | Other | WA | TAX ID |
WI0066 | Other | WA | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | MD00030693 (Washington) | Secondary |
207R00000X | Internal Medicine | MD00030693 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Dean S Wiese, MD 1401 Marvin Rd Ne, Suite 307 Pmb 266, Lacey, WA 98516-5709 Ph: (360) 491-5055 | Dr Dean S Wiese, MD 403 Black Hills Ln Sw Ste A, Olympia, WA 98502-8600 Ph: (360) 705-0421 |
Miss Tui Agaapapalagi Lauilefue, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 200, Olympia, WA 98502 Phone: 360-596-4899 Fax: 360-596-4889 | |
Monique C. Semien, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Dr. Philip William Berger, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502 Phone: 360-754-1737 Fax: 360-704-3408 | |
Mr. Robert Love Huck, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Suite 201, Olympia, WA 98503 Phone: 360-413-8272 Fax: 360-413-8878 | |
Dr. Ngozi Achebe, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 Capitol Mall Dr Sw, Sw, Olympia, WA 98502 Phone: 360-754-5858 Fax: 360-704-4751 | |
Dr. Robert C Tomford, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne, Suite 203, Olympia, WA 98506 Phone: 360-413-8121 Fax: 360-413-8865 | |
Brad Allan Howard, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Ste 100, Olympia, WA 98506 Phone: 360-413-8525 Fax: 360-412-6477 |