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
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