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Individual

MR. JAMES HAROLD WIEGERINK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4824 CALUMET AVE, FORT WAYNE, IN 46806-2209
(260) 515-5778
Mailing address
4824 CALUMET AVE, FORT WAYNE, IN 46806-2209
(260) 515-5778

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0500350517
IN

Other

Enumeration date
02/29/2020
Last updated
02/29/2020
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