Individual
MRS. KIMBERLY SUE WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
2700 N CENTER ST, RTE 159, MARYVILLE, IL 62062-5624
(618) 288-7474
(618) 288-7037
Mailing address
2700 N CENTER ST, RTE 159, MARYVILLE, IL 62062-5624
(618) 288-7474
(618) 288-7037
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
049-177617
IL
225000000X
Orthotic Fitter
Primary
CFM01697
IL
363AM0700X
Medical Physician Assistant
95212
IL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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