Individual
DR. JAMES J. WIEGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 S CHURCH ST, SUITE 302, BELLEVILLE, IL 62220-2236
(618) 233-6311
(618) 233-7806
Mailing address
2 FIVE IRON CT, BELLEVILLE, IL 62220-3234
(618) 233-4606
(618) 233-7806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A12820
IL
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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