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ALEXIS WIESENTHAL MD PA — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, TX)

ALEXIS WIESENTHAL MD PA — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, TX) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: ALEXIS WIESENTHAL MD PA; Type: Organization; NPI: 1003175662.

NameALEXIS WIESENTHAL MD PA
TypeOrganization
NPI1003175662
Provider typePART B SUPPLIER - CLINIC/GROUP PRACTICE
StateTX
Enrollment IDO20120801000272
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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