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Individual

MR. CHRISTOPHER WIEGAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6408 E TANQUE VERDE RD, TUSCON, AZ 85715
(520) 885-5558
(520) 885-5559
Mailing address
6408 E TANQUE VERDE RD, TUSCON, AZ 85715
(520) 885-5558
(520) 885-5559

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29187
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
581480
AZ
Enumeration date
10/21/2006
Last updated
03/31/2011
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