Individual
DR. CLIFFORD FRANK WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 WOODLAWN DR, JOHNSON CITY, TN 37604-5978
(423) 929-7158
(423) 828-9625
Mailing address
107 WOODLAWN DR, JOHNSON CITY, TN 37604-5978
(423) 929-7158
(423) 828-9625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD18429
TN
207RN0300X
Nephrology Physician
Primary
MD18429
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3030482
—
TN
Enumeration date
06/20/2005
Last updated
12/28/2009
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