NICHOLAS MARTIN WIEGAND

WENTZVILLE, MO
NPI1326609934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2017026211)
Enumeration Date2019-06-25
Last Update Date2023-05-16
Business Address
NICHOLAS MARTIN WIEGAND ATC, LAT
600 CAMPUS DR
WENTZVILLE, MO 63385-3433
Phone number: 636-327-3876
Mailing Address
NICHOLAS MARTIN WIEGAND ATC, LAT
11111 WHISPERING OAKS DR
SAINT LOUIS, MO 63136-5826
Phone number: 314-479-0628