Individual
JERI WIEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W MAIN ST, MANDAN, ND 58554-3146
(701) 663-5373
Mailing address
500 W MAIN ST, MANDAN, ND 58554-3146
(701) 663-5373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R17779
ND
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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