Individual
MR. JACOB DEAN WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-3429
(812) 522-0790
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28195010A
IN
Other
Enumeration date
03/02/2020
Last updated
05/13/2025
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