DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JULIE A. WIESE M.D.

MEDICARE: DR. JULIE A. WIESE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician3090271205UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1292740OTHERUTDESERET MUTUAL
2346475OTHERUTUNKNOWN CARRIER
3942938348W11OTHERUTEDUCATORS MUTUAL
410700772D103OTHERUTINTRMTN. HEALTH CARE

General Provider Information

NPI Number : 1417931296
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE A. WIESE M.D.
Provider Business Mailing Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-773-7060
Fax Number :
Provider Business Practice Location Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-773-7060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 08/05/2013

Similar Medicare Providers

1669113957 — KATHRYN L. FORNERIS DO
Practice Location Address:
934 S MAIN ST
LAYTON, UT
84041-7135
Practice Phone: 801-336-1805
Practice Fax:
1871312744 — NATALEE CHRISTENSEN
Practice Location Address:
934 S MAIN ST
LAYTON, UT
84041-7135
Practice Phone: 801-773-7060
Practice Fax:
1134071541 — NORAH MEACHAM
Practice Location Address:
934 S MAIN ST
LAYTON, UT
84041-7135
Practice Phone: 801-336-1845
Practice Fax:
1811326911 — CODY DARLING
Practice Location Address:
934 S MAIN ST
LAYTON, UT
84041-7135
Practice Phone: 801-773-7060
Practice Fax:
1538147418 — MITZY D. STEWART APRN
Practice Location Address:
934 S MAIN ST
LAYTON, UT
84041-7135
Practice Phone: 801-773-7060
Practice Fax:
1821077439 — MS. JUDITH ANN WEST RN
Practice Location Address:
934 S MAIN ST
LAYTON, UT
84041-7135
Practice Phone: 801-773-7060
Practice Fax:

Directions to “ DR. JULIE A. WIESE M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.