David J Wieber, ATC,MTC,LPT | |
328 Heritage Pl, Suite B, Faribault, MN 55021-5251 | |
(507) 333-2986 | |
(507) 333-2918 |
Full Name | David J Wieber |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 328 Heritage Pl, Faribault, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679548424 | NPI | - | NPPES |
644723600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4148 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapy Partners Inc | 4486552593 | 113 |
Provider Name | Therapy Partners Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407809494 PECOS PAC ID: 4486552593 Enrollment ID: O20031229000333 |
Mailing Address | Practice Location Address |
---|---|
David J Wieber, ATC,MTC,LPT 1961 Cardinal Ln, Ste A, Faribault, MN 55021-4354 Ph: (507) 645-2235 | David J Wieber, ATC,MTC,LPT 328 Heritage Pl, Suite B, Faribault, MN 55021-5251 Ph: (507) 333-2986 |
Sarah Ann Jentink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 State Ave, Faribault, MN 55021 Phone: 507-332-4790 | |
Dr. Liana Blomgren, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Maria Bohl, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Mrs. Amy Renee Willingham, PHYSICALTHERAPISTMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 17th St Nw, Faribault, MN 55021 Phone: 507-332-2204 Fax: 507-332-2270 | |
Jason Niemann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 | |
Nathan A Moldestad, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 8th Ave Nw, Suite 4, Faribault, MN 55021 Phone: 507-334-5627 Fax: 507-334-1824 | |
Kelly Kitzman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1520 17th St Nw, Faribault, MN 55021 Phone: 218-205-0190 |