Individual
MELISSA J WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
71 BEVIER ST, SHELBY, MI 49455-1209
(231) 861-2187
(231) 861-5100
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 727-5211
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704230188
MI
Other
Enumeration date
06/12/2015
Last updated
10/02/2018
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