Individual
MATTHEW S WIBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 W WACO DR, WACO, TX 76710-7010
(972) 598-5894
Mailing address
4300 W WACO DR, WACO, TX 76710-7010
(972) 598-5894
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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