Individual
JOSHUA WIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCTXP
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
15970-40
WI
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH0012435
OR
Other
Enumeration date
12/03/2012
Last updated
01/23/2026
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