Individual
CARLOS MARTIN WIEGERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
502 LOGAN BLVD, ALTOONA, PA 16602-4104
(814) 944-3536
(814) 941-7660
Mailing address
502 LOGAN BLVD, ALTOONA, PA 16602-4104
(814) 944-3536
(814) 941-7660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008692
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019480800001
—
PA
Enumeration date
08/31/2005
Last updated
09/02/2009
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