Individual
MICHAEL DANIEL WEIGANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
112 HENSLEY DR LOT 15, BAXTER, KY 40806-8382
(606) 671-0032
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KY
Other
Enumeration date
10/12/2019
Last updated
10/12/2019
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