Individual provider · Type 1 NPI

Courtney Gray Wiese, MD

Obstetrics & Gynecology Physician · Springfield, MO

NPI number 1366738155 Active

Practice location

3850 S National Ave Ste 400
Springfield, MO 65807-5287

Fax (417) 269-5830

Mailing address

PO Box 4046
Springfield, MO 65808-4046

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XBP10040931 (TX)
Obstetrics & Gynecology Physician Primary 207V00000X2019004912 (MO)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1366738155

Courtney Gray Wiese, MD's National Provider Identifier is 1366738155, issued on Jun 21, 2011. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Springfield, MO. The record was last updated on Feb 14, 2019.