Individual
DAVID E WIEGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 S MAIN STREET, SAND SPRINGS, OK 74063-8507
(918) 245-2286
(918) 241-4366
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
(918) 488-6010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23540
OK
Other
Enumeration date
05/31/2006
Last updated
03/06/2018
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