Todd M Wiese
Medical Specialty
Professional ID
- NPI: 1851721013
- PECOS ID: 1153544317
- Enrollment ID: I20150702000013
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2013
Hospital Service
- Hospital CCN1: 460051
- Business Name (LBN)1: Jordan Valley Medical Center
- Hospital CCN2: 460009
- Business Name (LBN)2: University Health Careuniv Hospitals And Clinics
Medical Practices
- Organization Name: Alpine Anesthesia Llc
- Group Practice ID assigned by PECOS: 0749501294
- Number of Group Practice member: 19
Location
- Address1: 3000 N Triumph Blvd
- Address2:
- City: Lehi
- State: Utah
- Zip Code: 84043
- Phone Number: (801)636-6597
Medical Practices
- Organization Name: University Of Utah Adult Services
- Group Practice ID assigned by PECOS: 0941525273
- Number of Group Practice member: 1169
Location
- Address1: 50 N Medical Dr
- Address2:
- City: Salt Lake City
- State: Utah
- Zip Code: 84132
- Phone Number: (801)581-8915
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):