Individual
DAVID A WIECHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2217 NICOLLET AVE, MINNEAPOLIS, MN 55404-3382
(612) 216-1362
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 870-5557
(612) 870-5857
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
46148
MN
207RG0100X
Gastroenterology Physician
Primary
46148
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278635400
—
MN
Enumeration date
03/30/2006
Last updated
11/06/2023
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