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Individual

MR. BRIAN LYNN WIGGEN II II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO. BOCO

Contact information

Practice address
107 EAST WALKER ST, EAST FLAT ROCK, NC 28726
(828) 595-9371
(828) 595-9373
Mailing address
107 EAST WALKER ST., EAST FLAT ROCK, NC 28726
(828) 595-9371
(828) 595-9373

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
NC
224P00000X
Prosthetist
NC

Other

Enumeration date
02/19/2008
Last updated
10/17/2024
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