Individual
GREG E WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
415 JEFFERSON ST NORTH, TRI-COUNTY HOSPITAL, WADENA, MN 56482-1296
(218) 631-3510
(218) 631-7507
Mailing address
415 JEFFERSON ST NORTH, TRI-COUNTY HOSPITAL, WADENA, MN 56482-1296
(218) 631-3510
(218) 631-7507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11286
MN
363A00000X
Physician Assistant
1846
MN
Other
Enumeration date
11/29/2012
Last updated
10/13/2016
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