Most Relevant Information
Provider Data
| NPI Number: | 1003075532 |
| Provider Name: | STEVEN WIESE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | P7870 |
Most Important Dates
| Enumeration Date: | 06/09/2008 |
| Last Updated: | 08/19/2014 |
Provider Practice Location
4236 E EVERGLADE AVE
ODESSA
TX
797627136
Practice Location Phone/Fax
| Phone: | 9795758119 |
| Fax: |
Provider Mailing Location
4236 E EVERGLADE AVE
ODESSA
TX
797627136
Provider Mailing Phone/Fax
| Phone: | 9795758119 |
| Fax: |