COLLIER S WIESE PA-C
NPI 1003896382
Physician Assistant in Kalamazoo, MI

Active since January 20, 2006
1541 GULL RD, SUITE 200, KALAMAZOO, MI 49048(269) 343-1264(269) 343-9555 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collier S Wiese Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLIER S WIESE PA-C (NPI 1003896382) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601002503) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1003896382
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCOLLIER S WIESECredential: PA-C
Location Address1541 GULL RD, SUITE 200Kalamazoo, MI 49048-1639
Mailing Address1541 Gull Rd, Suite 200Kalamazoo, MI 49048-1639 · (269) 343-1264 · Fax (269) 343-9555
Fax(269) 343-9555
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJune 1, 2011
NPI 1003896382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601002503
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1541 GULL RD, Kalamazoo, MI 49048

Other Identifiers 2

Medicare UPINON73570MI
Medicare ID-Type UnspecifiedP18520003MI

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1541 GULL RD, SUITE 100
KALAMAZOO, MI 49048
Neurological Surgery
1541 GULL RD, SUITE 200
KALAMAZOO, MI 49048
Nurse Practitioner (Family)
1541 GULL RD, SUITE 200
KALAMAZOO, MI 49048
Nurse Practitioner (Adult Health)
1541 GULL RD, SUITE 200
KALAMAZOO, MI 49048
Orthopaedic Surgery
1541 GULL RD, SUITE 200
KALAMAZOO, MI 49048
Psychologist (Clinical)
1541 GULL RD, SUITE 100
KALAMAZOO, MI 49048
Psychiatry & Neurology (Neurology)
1541 GULL RD, SUITE 100
KALAMAZOO, MI 49048
Neurological Surgery
1541 GULL RD, SUITE 200
KALAMAZOO, MI 49048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collier Wiese's NPI number?

The NPI number for Collier Wiese is 1003896382. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Collier Wiese located?

Collier Wiese practices at 1541 Gull Rd Suite 200, Kalamazoo, MI 49048. The listed phone number is (269) 343-1264.

What is Collier Wiese's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Collier Wiese was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.