Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael B Wiese, MD

Individual provider Orthopaedic Surgery Physician · NPI 1538137005

Mr. Michael B Wiese, MD is an Orthopedic Surgery in Syracuse, New York. Graduated from Georgetown University School of Medicine in 1985, 41 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group. Licensed in New York.

Years since qualifying
41
Trained at
Georgetown University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone: (315) 251-3100
Fax: (315) 449-9923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 175162 (NY)

Record details

NPI number1538137005
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 10, 2006
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing addressPo Box 580, Syracuse, NY 13214-0580

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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