Individual provider · Type 1 NPI

Alycia Wiese

Specialist · West Fargo, ND

NPI number 1407698053 Active

Practice location

1520 2nd Ave NW
West Fargo, ND 58078-1161

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407698053

Alycia Wiese's National Provider Identifier is 1407698053, issued on Jun 12, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Fargo, ND. The record was last updated on Jun 12, 2024.