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Individual

ROBERT WIEGAND JR.

Active
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Individual

ROBERT WIEGAND JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018209
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2749209000
INDEPENDENCE BLUE CROSS
PA
01
—
44418
HEATH AMER/HEALTH ASSUR
PA
01
—
50060610
CAPITAL BLUE CROSS/KHPC
PA
01
—
7735811
AETNA
PA
01
—
WI1886723
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/26/2006
Last updated
07/08/2007
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