Individual
JON PETER WIGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 DOUGLAS AVE, HENNING, MN 56551
(218) 583-2953
(218) 583-4521
Mailing address
PO BOX 16, HENNING, MN 56551
(218) 583-2953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27216
MN
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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