Individual
DONALD E WIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
360 N ROBERT ST #317, ST PAUL, MN 55101
(651) 983-0383
(651) 337-0084
Mailing address
360 N ROBERT ST #317, ST PAUL, MN 55101
(651) 983-0383
(651) 337-0084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2923
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108690
UCARE
MN
01
—
411891484 39069
HEALTH PARTNERS
MN
01
—
45Q81WI
BLUE CROSS/BLUE SHIELD
MN
01
—
61-19333
MEDICA
MN
01
—
990991946897
PREFERREDONE
MN
Enumeration date
10/02/2006
Last updated
07/09/2007
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