Most Relevant Information
Provider Data
| NPI Number: | 1003394966 |
| Provider Name: | CALEB JON WIEGMANN |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2096 |
Most Important Dates
| Enumeration Date: | 08/02/2018 |
| Last Updated: | 08/02/2018 |
Provider Practice Location
502 WAKEFIELD ST
LAUREL
NE
687451743
Practice Location Phone/Fax
| Phone: | 4022563133 |
| Fax: |
Provider Mailing Location
225 SYCAMORE AVE APT 203
VERMILLION
SD
570693353
Provider Mailing Phone/Fax
| Phone: | 3192309964 |
| Fax: |