SearchIllinoisOrthotic Fitter

Kimberly Wiegand, CFM

NPI 1720230873 · on the registry since 2008

Practice

Address
2700 N Center St
Rte 159
Maryville, IL 62062
Phone
(618) 288-7474
Fax
(618) 288-7037
Organisation at this address
Maryville Pharmacy Inc
Health Management Zone Inc.
Health Management Zone Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Orthotic Fitter
225000000X
Also registered as
Pharmacy Technician
Medical Physician Assistant
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois