Individual
DR. JEFFREY MICHAEL LANG WIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
261 E BROADWAY ST, MONTICELLO, MN 55362-9317
(763) 295-5292
(763) 271-4219
Mailing address
261 E BROADWAY ST, PO BOX 540, MONTICELLO, MN 55362-9317
(763) 295-5292
(763) 271-4219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3186
MN
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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