Shannon Wiegand in Fairbanks - Family Medicine
Shannon Wiegand - NPI 1629080437
Shannon Wiegand is a Family Medicine in Fairbanks, Alaska. Shannon Wiegand practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shannon Wiegand is 1629080437. The last update date is 2012-12-06.
Shannon Wiegand's current location address is 1717 W Cowles St, Fairbanks, Alaska. You can contact this provider via phone number 9074516682 and fax number 9074593811. The mailing address for Shannon Wiegand is 1717 W Cowles St, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Wiegand |
|---|---|
| Address | 1717 W Cowles St, Fairbanks, Alaska |
| Phone Number | 9074516682 |
| Fax Number | 9074593811 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629080437 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2012-12-06 |
Provider Mailing Address Detail
| Address | 1717 W Cowles St |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 99701 |
| Phone Number | 9074516682 |
| Fax Number | 9074593811 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5143 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD05432 | AK | -- | |
| P0080955 | AK | RAILROAD MEDICARE PIN# |
Post Comment/ Review Below
What is the unique identifier code issued to Shannon Wiegand by the Centers for Medicare & Medicaid Services?
The Shannon Wiegand has been assigned the NPI (National Provider Identifier) 1629080437. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shannon Wiegand?
The Shannon Wiegand is physically situated at 1717 W Cowles St, in the city of Fairbanks, state of AK, with the postal code 99701.
What is Shannon Wiegand's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon Wiegand's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629080437 to Shannon Wiegand?
The Centers for Medicare & Medicaid Services assigned the 1629080437 to Shannon Wiegand on 2006-08-12.
When was the Shannon Wiegand's information last updated?
The Shannon Wiegand's information was last updated on 2012-12-06.
NPI Number: 1144225426
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