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Individual

MATTHEW SCOTT WEIGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1629
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104025907
WELLMARK BC/BS
SD
05
1104025907
SD
Enumeration date
07/12/2007
Last updated
11/08/2012
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