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Organization

DAVID A WIEGAND MD PC

Active
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Organization

DAVID A WIEGAND MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A WIEGAND MD (PRESIDENT)
(717) 761-5556
Entity
Organization

Contact information

Practice address
207 HOUSE AVE, STE 100, CAMP HILL, PA 17011
(717) 761-5556
(717) 761-8166
Mailing address
207 HOUSE AVE, STE 100, CAMP HILL, PA 17011
(717) 761-5556
(717) 761-8166

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02608300
KEYSTONE HEALTH PLAN
PA
01
1796749
HIGHMARK BLUE SHIELD
PA
01
645B
GEISINGER HEALTH PLAN
PA
01
B40010
HEALTHASSURANCE
PA
01
DE2877
PALMETTO GBA
PA
Enumeration date
04/28/2006
Last updated
08/22/2020
Update your record

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