National Provider Identifier
Matthew L. Wiese, M.D.
Matthew L. Wiese, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician in Buffalo, NY and a listed phone number of (716) 323-2000.
Profile Overview
- NPI
- 1316333446
- Provider Type
- Individual
- Primary Specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- Enumeration Date
- April 15, 2015
- Last Updated
- June 06, 2023
Practice Location
- 818 Ellicott St
- Buffalo, NY 14203-1021
Phone: (716) 323-2000
Mailing Address
- 1001 Main St Fl 5
- Buffalo, NY 14203-1009
Specialties
- Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
- Pediatric Critical Care Medicine Physician (2080P0203X)
- Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
- Pediatrics Physician (208000000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- mwiese@direct.kaleidahealth.org
Direct Messaging Address | Kaleida Health | Buffalo, NY 14203
Full Record
- NPI
- 1316333446
- Entity Type
- Individual
- Last Name
- Wiese
- First Name
- Matthew
- Middle Name
- L.
- Credential
- M.D.
- Mailing Street Address
- 1001 Main St Fl 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1009
- Mailing Country
- US
- Mailing Phone
- (716) 323-0220
- Mailing Fax
- (716) 323-0293
- Practice Street Address
- 818 Ellicott St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1021
- Practice Country
- US
- Practice Phone
- (716) 323-2000
- Practice Fax
- (716) 323-0293
- Enumeration Date
- April 15, 2015
- Last Updated
- June 06, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), Pediatric Critical Care Medicine Physician (2080P0203X), Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), Pediatrics Physician (208000000X), Student in an Organized Health Care Education/Training Program (390200000X)
- Other Identifiers
- 06949971 (NY)