| Mr Steven Roger Wiese, LP | |
|
2780 Snelling Ave N Ste 104, Roseville, MN 55113-7115 | |
| (651) 633-5290 | |
| (651) 633-5238 |
| Full Name | Mr Steven Roger Wiese |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 2780 Snelling Ave N Ste 104, Roseville, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194941682 | NPI | - | NPPES |
| 04Q65WI | Other | MN | BCBSM NON PAR PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP1426 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Steven Roger Wiese, LP 21211 Imperial Ave N, Forest Lake, MN 55025-9547 Ph: (651) 464-1121 | Mr Steven Roger Wiese, LP 2780 Snelling Ave N Ste 104, Roseville, MN 55113-7115 Ph: (651) 633-5290 |
Joseph P. Sundeen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1935 County Road B2 W Ste 160, Roseville, MN 55113 Phone: 651-330-0144 | |
Kenneth B. Little, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1935 County Road B2 W Ste 120, Roseville, MN 55113 Phone: 651-964-0235 Fax: 651-340-5652 | |
Dr. Gail Hegeman, PH D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1711 County Road B West, Suite 144s, Roseville, MN 55113 Phone: 651-635-0909 Fax: 612-822-8669 | |
Kevin M Harrington, PHD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248 | |
Dr. Layla Asamarai, PSYD. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1611 County Road B W Ste 218, Roseville, MN 55113 Phone: 612-877-0777 Fax: 651-358-2996 | |
Pamela Johnson, MA, LMFT, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1751 County Road B W Ste 100, Roseville, MN 55113 Phone: 612-719-5636 |