Robert A Wiegand, PA
Physician Assistant in Rochester, MN. Individual provider (NPI-1).
NPI number1720177751
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1720177751
- Entity type
- Individual (NPI-1)
- Name
- Robert A Wiegand
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10211 | MN | Yes |
| 363A00000X | Physician Assistant | 919 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
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