Individual
DR. BRADLEY JAMES WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4027 S BUSINESS DR, SHEBOYGAN, WI 53081-1261
(920) 459-9090
Mailing address
126 E MILL ST, PLYMOUTH, WI 53073-1704
(920) 892-8920
(920) 892-8920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4891
WI
Other
Enumeration date
06/26/2012
Last updated
12/21/2015
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