Organization
GLEN A WEISGERBER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN WEISGERBER (OWNER)
(217) 438-6175
Entity
Organization
Contact information
Practice address
100 S 5TH ST, AUBURN, IL 62615-1402
(217) 438-6175
Mailing address
100 S 5TH ST, AUBURN, IL 62615-1402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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