Individual
MR. DAVID WIEGAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OP/L
Contact information
Practice address
501 SADDLE DR, NASHVILLE, TN 37221-1905
(615) 891-0104
Mailing address
501 SADDLE DR, NASHVILLE, TN 37221-1905
(615) 891-0104
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORT045
TN
224P00000X
Prosthetist
Primary
PRO034
TN
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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