IndividualActive
Alycia Wiese
NPI 1407698053 · Specialist · West Fargo, ND
Provider details
- NPI number
- 1407698053
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1520 2nd Ave Nw
West Fargo, ND 58078-1161
Phone: (218) 287-4338
Approximate (ZIP-level) locationGet directions
Mailing address
1547 30th Ave S
Moorhead, MN 56560-5149
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.