ANDREW RICHARD WIESEN (M.D.) – Internal Medicine Physician, NPI 1104896836

ANDREW RICHARD WIESEN (M.D.) is a healthcare provider. based in Puyallup, Washington. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 33777 (WI). The NPI Number for ANDREW RICHARD WIESEN (M.D.) is 1104896836

Main info

Male
Name
ANDREW RICHARD WIESEN (M.D.)
NPI
1104896836
Phone
(253) 968-4475
Address
13501 152ND STREET CT E
Enumeration Date
25 January 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for ANDREW RICHARD WIESEN (M.D.)

  • 13501 152ND STREET CT E

    PUYALLUP, WA 983749244

    Phone: (253) 968-4475

    Type: Mailing

  • MAMC

    ATTN: MCHJ-PV (LTC WIESEN)

    TACOMA, WA 984310001

    Phone: (253) 968-4475

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98374)

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Frequently asked questions

Is ANDREW RICHARD WIESEN (M.D.) listed with a National Provider Identifier?
Yes — ANDREW RICHARD WIESEN (M.D.) has NPI 1104896836 on file in the registry.
Is there an active status for ANDREW RICHARD WIESEN (M.D.)?
For scheduling context, ANDREW RICHARD WIESEN (M.D.) is shown as active in the registry.
What kind of doctor is ANDREW RICHARD WIESEN (M.D.)?
ANDREW RICHARD WIESEN (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ANDREW RICHARD WIESEN (M.D.)?
Directory geography for ANDREW RICHARD WIESEN (M.D.) centers on Puyallup, Washington.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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