Individual
DAVID J WIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.,M.T.C.,L.P.T
Contact information
Practice address
328 HERITAGE PL, SUITE B, FARIBAULT, MN 55021-5251
(507) 333-2986
(507) 333-2918
Mailing address
1961 CARDINAL LN, STE A, FARIBAULT, MN 55021-4354
(507) 645-2235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4148
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644723600
—
MN
Enumeration date
02/22/2006
Last updated
09/19/2017
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