Individual
DR. BRIAN J WIEGEL
Active
Individual
DR. BRIAN J WIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01040536A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082131
ANTHEM-351158723
IN
01
—
000000492370
ANTHEM 203778927
IN
01
—
002095
SIHO-351158723
IN
01
—
059333
HEALTH ALLIANCE-351158723
IN
05
—
200035270
—
IN
01
—
300100874
RR MEDICARE-351158723
IN
01
—
Q0084960
CMOSHO351158723&352047427
IN
Enumeration date
12/15/2005
Last updated
12/04/2009
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