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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREW RICHARD WIESEN M.D.
NPI 1104896836
Internal Medicine in Tacoma, WA

Active since January 25, 2006
MAMC, ATTN: MCHJ-PV (LTC WIESEN), TACOMA, WA 98431(253) 968-4475 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Andrew Richard Wiesen M.d. NPPES

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

ANDREW RICHARD WIESEN M.D. (NPI 1104896836) is an individual internal medicine provider in Tacoma, Washington, licensed in Wisconsin (33777) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1104896836
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDREW RICHARD WIESENCredential: M.D.
Location AddressMAMC, ATTN: MCHJ-PV (LTC WIESEN)Tacoma, WA 98431-0001
Mailing Address13501 152nd Street Ct EPuyallup, WA 98374-9244 · (253) 968-4475
Phone(253) 968-4475
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1104896836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 33777
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 33777 (WI)
MAMC, Tacoma, WA 98431
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Other Providers at the Same Location NPPES 2

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

LISA KONITZER MPT
Specialist
MAMC
TACOMA, WA 98431
Pierce County (253) 968-0780
MS. MICHELLE LEE KLINE
Student in an Organized Health Care Education/Training Program
MAMC
TACOMA, WA 98431
Pierce County (253) 968-2700

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 Andrew Wiesen's NPI number?

The NPI number for Andrew Wiesen is 1104896836. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Andrew Wiesen located?

Andrew Wiesen practices at Mamc Attn: Mchj-Pv (ltc Wiesen), Tacoma, WA 98431. The listed phone number is (253) 968-4475.

What is Andrew Wiesen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Andrew Wiesen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.