| NPI | 1528407905 |
|---|---|
| Doing Business As | DR. JEFFREY WIEBER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY WIEBER President 812-272-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3186) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |