Individual
DAVID A WIEGAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 HOUSE AVENUE, SUITE 100, CAMP HILL, PA 17011
(717) 761-5556
(717) 761-8166
Mailing address
207 HOUSE AVENUE, SUITE 100, CAMP HILL, PA 17011
(717) 761-5556
(717) 761-8166
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD029030E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01651501
CAPITAL BLUE CROSS
PA
05
—
1089665
—
PA
01
—
152808
HIGHMARK BLUE SHIELD
PA
01
—
21199
GEISINGER HEALTH PLAN
PA
01
—
B40010
HEALTHAMERICA HEALTHASSUR
PA
01
—
P00283265
PALMETTO GBA RAILROAD MED
PA
Enumeration date
04/18/2006
Last updated
07/08/2007
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