NPI 1194941682

Steven Roger Wiese, LP

Practitioner Psychologist Roseville, MN

Practice location

Address: 2780 Snelling Ave N STE 104, Roseville, MN 55113-7115
Phone: (651) 633-5290
Fax: (651) 633-5238
Mailing address: 21211 Imperial Ave N, Forest Lake, MN 55025-9547

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence LP1426 (MN)

Other Psychologist providers in Minnesota →

Registry record

NPI: 1194941682
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2007
Record last updated: 8 Jul 2007

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.