Organization
LANG WIEBER O.D., P.A.
Active
Other names
Dr. Jeffrey Wieber
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY WIEBER O.D. (PRESIDENT)
(812) 272-8309
Entity
Organization
Contact information
Practice address
15300 GROVE CIR N, MAPLE GROVE, MN 55369-4469
(763) 416-5083
Mailing address
18595 218TH AVE NW, BIG LAKE, MN 55309-9164
(812) 272-8309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3186
MN
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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