Individual
MRS. LEAH ROSE WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
925 S. OXFORD AVE, APT 142, STURGEON BAY, WI 54235
(920) 210-9464
Mailing address
925 S. OXFORD AVE, APT 142, STURGEON BAY, WI 54235
(920) 210-9464
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306128-031
WI
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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