Individual
NEIL WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 PARNASSUS AVE FL 2, SAN FRANCISCO, CA 94143-2202
(415) 353-2161
Mailing address
400 PARNASSUS AVE FL 2, SAN FRANCISCO, CA 94143-2202
(415) 353-2161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
62146
CA
363AS0400X
Surgical Physician Assistant
PA10005288
WA
Other
Enumeration date
09/14/2007
Last updated
03/10/2023
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