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Cory Wiegman, PTA

NPI 1922206689 · on the registry since 2007

Practice

Address
1115 Litchfield Ave Sw
Willmar, MN 56201
Phone
(320) 235-2946

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Minnesota