Individual provider · Type 1 NPI
Kimberly Sue Wiegand, CFM
Orthotic Fitter · Maryville, IL
NPI number
1720230873
Active
Practice location
2700 N Center St, Rte 159
Maryville, IL 62062-5624
Fax (618) 288-7037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Technician | 183700000X | 049-177617 (IL) |
| Orthotic Fitter Primary | 225000000X | CFM01697 (IL) |
| Medical Physician Assistant | 363AM0700X | 95212 (IL) |
Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.
6 other providers at this address
- Health Management Zone Inc.Community/Retail Pharmacy Maryville, IL NPI 1750925079
- Health Management Zone Inc.Long Term Care Pharmacy Maryville, IL NPI 1891392619
- Maryville Pharmacy IncPharmacist Maryville, IL NPI 1326082173
- Catherine Zollars, PHARDPharmacist Maryville, IL NPI 1568138451
- Gary Ceretto, RPHPharmacist Maryville, IL NPI 1295777571
- Harry Michael Zollars, PharmDPharmacist Maryville, IL NPI 1679989503
About NPI 1720230873
Kimberly Sue Wiegand, CFM's National Provider Identifier is 1720230873, issued on Oct 21, 2008. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in Maryville, IL. The record was last updated on Oct 21, 2008.