Individual
DR. MARK J WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
926 BROADWAY ST, SUITE 4, QUINCY, IL 62301-2748
(217) 222-5100
(217) 222-5178
Mailing address
926 BROADWAY ST, SUITE 4, QUINCY, IL 62301-2748
(217) 222-5100
(217) 222-5178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009581
IL
Other
Enumeration date
08/25/2005
Last updated
07/08/2007
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