SHANNON WIEGAND

FAIRBANKS, AK
NPI1629080437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AK  5143)
Enumeration Date2006-08-12
Last Update Date2012-12-06
Business Address
-- SHANNON WIEGAND MD
1717 W COWLES ST CAIHC
FAIRBANKS, AK 99701
Phone number: 907-451-6682
Mailing Address
-- SHANNON WIEGAND MD
1717 W COWLES ST CAIHC
FAIRBANKS, AK 99701
Phone number: 907-451-6682
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