NPI 1003465493

Amy Wiese

Practitioner Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Bloomfield Hills, MI

Practice location

Address: 50 W Big Beaver Rd STE 280, Bloomfield Hills, MI 48304-3912
Phone: (248) 322-3362
Mailing address: 7126 Arrowood Dr, West Bloomfield, MI 48324-2500

Registered specialties

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2082S0099X Licence 1144430133 (MI)

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Registry record

NPI: 1003465493
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2019
Record last updated: 9 Sep 2019

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.