Individual
KERSTEN L. WEIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 N WALNUT ST, COLUMBIA CITY, IN 46725-2066
(260) 248-9958
(260) 458-6003
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008165A
IN
Other
Enumeration date
07/17/2018
Last updated
09/30/2021
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