Kurt Alan Wiese


Address: 401 Wall St B, Valaparaiso, IN 46383-2585

Kurt Alan Wiese (NPI# 1659470250, PAC ID# 2365623675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1659470250
PAC ID by PECOS 2365623675
Professional Enrollment ID I20110228000917
Full Name Kurt Alan Wiese
Address 401 Wall St B
Valaparaiso
IN 46383-2585
Gender M
Medical School UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 1988
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140242 CENTRAL DUPAGE HOSPITAL
150035 PORTER REGIONAL HOSPITAL
150034 ST MARY MEDICAL CENTER INC

Other Locations

Address Phone Organization
401 Wall St B, Valaparaiso, IN 46383-2585

Organization Information

Office Location

Street Address 401 WALL ST B
City VALAPARAISO
State IN
Zip 46383-2585

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Competitor

Search similar physicians

City VALAPARAISO
Zip Code 46383
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty VALAPARAISO + OBSTETRICS/GYNECOLOGY

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Dataset Information

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.

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