Individual
ANDREW MICHAEL WIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1531 MADISON RD, BELOIT, WI 53511-3267
(608) 365-1904
(608) 365-2371
Mailing address
1531 MADISON RD, BELOIT, WI 53511-3267
(608) 365-1904
(608) 365-2371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15217-40
WI
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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