Individual
EMILY ANNE WIELGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 S COURT ST, CROWN POINT, IN 46307-4809
(219) 663-0336
Mailing address
1520 S COURT ST, CROWN POINT, IN 46307-4809
(219) 663-0336
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
99109328A
IN
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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