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Individual

DR. TIMOTHY E WEGSCHEID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2121 CLIFF DR, STE 101, EAGAN, MN 55122-3407
(651) 330-3900
(651) 330-3901
Mailing address
4555 ERIN DR, STE 200, EAGAN, MN 55122-3432
(651) 330-3900
(651) 330-3901

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3427
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
355425200
MN
01
492
ACUPUNCTURE-MN
MN
01
50M07WE
BCBS GRP: TIN # 73-1655643
MN
01
50M08WE
BCBS IND: TIN #73-1655643
MN
Enumeration date
03/16/2006
Last updated
11/15/2018
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