Dr Erik Scott Wiegand, DC | |
2672 N Packerland Dr, Green Bay, WI 54303-4856 | |
(920) 786-2888 | |
Not Available |
Full Name | Dr Erik Scott Wiegand |
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Gender | Male |
Speciality | Chiropractor |
Location | 2672 N Packerland Dr, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477267151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6047-12 (Wisconsin) | Primary |
Provider Name | Wiegand Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356056543 PECOS PAC ID: 0143693275 Enrollment ID: O20230310000450 |
Mailing Address | Practice Location Address |
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Dr Erik Scott Wiegand, DC 2672 N Packerland Dr, Green Bay, WI 54303-4856 Ph: (920) 786-2888 | Dr Erik Scott Wiegand, DC 2672 N Packerland Dr, Green Bay, WI 54303-4856 Ph: (920) 786-2888 |
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