IndividualActive
Brett Wiesley, MD
NPI 1689615882 · Emergency Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1689615882
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2345271 (NY)
Mailing address
1520 Roosevelt Ave
Salt Lake City, UT 84105-2731
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.