David A Wiese (NPI# 1023126042, PAC ID# 2264409358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1023126042 |
| PAC ID by PECOS | 2264409358 |
| Professional Enrollment ID | I20100719000629 |
| Full Name | David A Wiese |
| Organization Legal Name | FLINT CLINICAL PATHOLOGIST PC |
| Address |
1221 Pine Grove Ave Port Huron MI 48060-3511 |
| Phone Number | 8107337741 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 2365419454 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230141 | MCLAREN FLINT |
| 230041 | MCLAREN BAY REGION |
| 230121 | MEMORIAL HEALTHCARE |
| 230167 | MCLAREN GREATER LANSING |
| 230193 | MCLAREN LAPEER REGION |
| Address | Phone | Organization |
|---|---|---|
| 1900 Columbus Ave, Bay City, MI 48708-6831 | 8107337741 | FLINT CLINICAL PATHOLOGIST PC |
| 401 S Ballenger Hwy, Flint, MI 48532-3638 | 8107337741 | FLINT CLINICAL PATHOLOGIST PC |
| 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 5179756000 | FLINT CLINICAL PATHOLOGIST PC |
| 1375 N Main St, Lapeer, MI 48446-1350 | 8107338885 | FLINT CLINICAL PATHOLOGIST PC |
| 1221 S Dr, Mt Pleasant, MI 48858-3257 | 9897726776 | FLINT CLINICAL PATHOLOGIST PC |
| 826 W King St, Owosso, MI 48867-2120 | 8107337741 | FLINT CLINICAL PATHOLOGIST PC |
| 50 N Perry St, Pontiac, MI 48342-2253 | 8107337741 | FLINT CLINICAL PATHOLOGIST PC |
| 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 8107337741 | FLINT CLINICAL PATHOLOGIST PC |
| Organization Legal Name | FLINT CLINICAL PATHOLOGIST PC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nilam K Virani | Pathology | Flint Clinical Pathologist PC | 401s Ballenger Hwy, Flint, MI 48532-3638 |
| Doina David | Pathology | Flint Clinical Pathologist PC | 1000 Harrington St, Mount Clemens, MI 48043-2920 |
| Peter S Ng | Pathology | Flint Clinical Pathologist PC | 1000 Harrington St, Mount Clemens, MI 48043-2920 |
| Khushi S L Nagori | Pathology | Flint Clinical Pathologist PC | 401 S Ballenger Hwy, Flint, MI 48532-3638 |
| Baraa Alosh | Pathology | Flint Clinical Pathologist PC | 50 N Perry St, Pontiac, MI 48342-2253 |
| Mehboob M Fatteh | Pathology | Flint Clinical Pathologist PC | 401 S Ballenger Hwy, Flint, MI 48532-3638 |
| Joseph T Czaja | Pathology | Flint Clinical Pathologist PC | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Aamir Ahsan | Pathology | Flint Clinical Pathologist PC | 50 N Perry St, Pontiac, MI 48342-2253 |
| Aaron J Goldfarb | Pathology | Flint Clinical Pathologist PC | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Monroe H Adams | Pathology | Flint Clinical Pathologist PC | 1000 Harrington St, Mount Clemens, MI 48043-2920 |
| Street Address |
1221 PINE GROVE AVE |
| City | PORT HURON |
| State | MI |
| Zip | 48060-3511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oliver Dimitrijevic | Internal Medicine | Sound Inpatient Physicians-michigan Pllc | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Aiman Mahmood | Hospitalist | Sound Inpatient Physicians-michigan Pllc | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Peter Y Tseng | Obstetrics/gynecology | Mclaren Port Huron | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Phillip R Lepine | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Michael Kelly Paul | Emergency Medicine | Physician Healthcare Network PC | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Patrina S Lupo | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Sherry L Bombardo | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Erica A Dicicco | Hospitalist | Sound Inpatient Physicians-michigan Pllc | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Shirley J Kocur | Psychiatry | Mclaren Port Huron | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Jenelle L Fye | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette M Mercatante | Family Medicine | 2215 Court, Port Huron, MI 48060 | |
| Fahim Kamal Ibrahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| George J Carley Jr. | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Reid S Stromberg | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Kamal Fahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| Mark G Kanitz | Emergency Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dana L Wolfe | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Jay S Guikema | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dena R Nader | Family Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Shanae D Bartlett | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Find all physicians in zip 48060 | |||
| City | PORT HURON |
| Zip Code | 48060 |
| Specialty | PATHOLOGY |
| City + Specialty | PORT HURON + PATHOLOGY |
Please comment or provide details below to improve the information on David A Wiese.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.