Individual
STEPHANIE WIEGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 STRAFFORD AVE APT 3B, WAYNE, PA 19087-2529
(610) 764-6025
Mailing address
430 STRAFFORD AVE APT 3B, WAYNE, PA 19087-2529
(610) 764-6025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005947
PA
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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