Gregory Elwood Wiger

NPI #1619526845 in Brainerd, Minnesota

Provider Information

NPI Number: 1619526845
Entity Type: Individual
Name: Gregory Elwood Wiger
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Sep 10, 2019
Last Updated: Sep 10, 2019

Practice Location

Address: 2016 S 6TH ST
City: Brainerd
State: Minnesota
ZIP Code: 56401-4529
Phone: (218) 828-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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