IndividualActive
Kristine Wiese, M.D.
NPI 1073535977 · Forensic Psychiatry Physician · Roseville, MN
Provider details
- NPI number
- 1073535977
- Entity type
- Individual
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 39360 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2277 Highway 36 W
Roseville, MN 55113-3804
Phone: (612) 255-0628
Fax: (612) 255-0647
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2182
Burnsville, MN 55337-0008
Registry dates
- Enumerated
- 2006-07-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.