| Doctor Name: | DON EDWARD WIESE |
| NPI Number: | 1114908159 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 48546 |
| Business Practice Address: | 166 4th St E St Paul Radiology Pa St Paul, MN - 551011421 |
| Business Phone Number: | 6512922043 |
| Business Fax Number: | 6512922204 |
| Mailing Address: | 166 4th St E, St Paul Radiology Pa ST PAUL |
| State: | MN |
| Postal Code: | 551011421 |
| Phone Number: | 6512922043 |
| Fax Number: | 6512922204 |
| NPI Enumeration Date: | 11/08/2005 |
| NPI Last Update Date: | 09/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0700X |
| License Number: | 48546 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Neuroradiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |