Individual
MR. CALEB JON WIEGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 WAKEFIELD ST, LAUREL, NE 68745-1743
(402) 256-3133
Mailing address
225 SYCAMORE AVE APT 203, VERMILLION, SD 57069-3353
(319) 230-9964
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2096
NE
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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