Individual
NICOLAS WIEGAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5933 S HIGHWAY 94, SUITE 102, WELDON SPRING, MO 63304-5610
(314) 479-5303
Mailing address
5933 S HIGHWAY 94, SUITE 102, WELDON SPRING, MO 63304-5610
(314) 479-5303
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46-4321873
MO
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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