NPI 1003348343

Michelle Elise Wiese, MD

Practitioner Psychiatry Physician Fort Wayne, IN

Practice location

Address: 909 E State Blvd, Fort Wayne, IN 46805-3404
Phone: (260) 481-2700
Fax: (260) 481-2838
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties (3)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 01093232A (IN)

Other Psychiatry & Neurology providers in Indiana →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD60988236 (WA)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Indiana →

Registry record

NPI: 1003348343
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2017
Record last updated: 28 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.