Individual
LAUREL WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2460 S FORGE RD, PALMYRA, PA 17078-8344
(717) 991-3003
Mailing address
2460 S FORGE RD, PALMYRA, PA 17078-8344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030653E
PA
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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