Dean S Wiese MD PS

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

WA30693 Issued in WA

Legal business name

DEAN S WIESE MD PS

Practice address

403 Black Hills LN SW Ste a
Olympia, WA 98502-8600

Phone

(360) 705-0421

NPI assigned

Feb 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dean S Wiese, M.D.

Title

President

Phone

(360) 705-0421

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1285956367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BLACK HILLS LN SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028600",
            "telephone_number": "360-705-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BLACK HILLS LN SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028600",
            "telephone_number": "360-705-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN S WIESE MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-705-0421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "WA30693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carola De Keizer, CR, LMP
• Roberto Gutierrez De la Cruz Jr., RN
• Danielle De la Pena, NP
• Giovanni De Rosa
• Kathryn Elizabeth De Rose
• Abigail Miranda Dean
• Amanda Joy Dean, LMP
• Gina Jaeger Dean, MA, MHP
• Kathryn A Dean, MD
• Heidi Dearborn, DO

• Internal Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.