Individual
SARAH E WIEGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5711
Mailing address
380 DENICK LOOP, POCAHONTAS, IL 62275-3665
(618) 499-4890
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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