Individual
DR. NELSON E. WIEGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7785 N STATE ST STE 120, LOWVILLE, NY 13367-1229
(315) 376-4505
(315) 376-4259
Mailing address
7785 N STATE ST STE 120, LOWVILLE, NY 13367-1297
(315) 376-4505
(315) 376-4259
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
303847
NY
207X00000X
Orthopaedic Surgery Physician
C1-0003720
DE
207X00000X
Orthopaedic Surgery Physician
D83131
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000301601
—
DE
Enumeration date
05/09/2006
Last updated
05/19/2020
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