Provider Demographics
NPI:1730591215
Name:TUROSE-WIESE, FRANCINE
Entity type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:
Last Name:TUROSE-WIESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 BUSDEKER LN
Mailing Address - Street 2:
Mailing Address - City:GIBSONBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43431-1288
Mailing Address - Country:US
Mailing Address - Phone:419-556-2019
Mailing Address - Fax:
Practice Address - Street 1:1725 S WHEELING ST
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3962
Practice Address - Country:US
Practice Address - Phone:419-697-2010
Practice Address - Fax:419-697-2065
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032177441835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy