Individual
MARK STEVEN WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11225 ULYSSES ST NE, BLAINE, MN 55434-4261
(763) 302-2600
(763) 302-2601
Mailing address
11225 ULYSSES ST NE, BLAINE, MN 55434-4261
(763) 302-2600
(763) 302-2601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11855
MN
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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