Wiegand Chiropractic Llc | |
2672 N Packerland Dr, Green Bay, WI 54303-4856 | |
(920) 786-2888 | |
Not Available |
Full Name | Wiegand Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2672 N Packerland Dr, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356056543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Erik Scott Wiegand |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477267151 PECOS PAC ID: 2860865995 Enrollment ID: I20230310000488 |
Provider Name | Sarah Fadel Wiegand |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144935131 PECOS PAC ID: 1052784188 Enrollment ID: I20230321001628 |
Mailing Address | Practice Location Address |
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Wiegand Chiropractic Llc 2672 N Packerland Dr, Green Bay, WI 54303-4856 Ph: (920) 786-2888 | Wiegand Chiropractic Llc 2672 N Packerland Dr, Green Bay, WI 54303-4856 Ph: (920) 786-2888 |
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