Individual
JAMES J WIBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 SMITH AVE N, SUITE 100, SAINT PAUL, MN 55102-2572
(651) 241-5000
(651) 241-7678
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
18659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336882300
—
MN
Enumeration date
03/31/2006
Last updated
10/19/2011
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