Individual
GREGORY ELWOOD WIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2016 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7373
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 828-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4000
MN
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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