Provider Demographics
NPI:1730321175
Name:AARON L. WIEGAND DC, PC
Entity Type:Organization
Organization Name:AARON L. WIEGAND DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WIEGAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-587-7463
Mailing Address - Street 1:22849 N 19TH AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-1943
Mailing Address - Country:US
Mailing Address - Phone:623-587-7463
Mailing Address - Fax:
Practice Address - Street 1:22849 N 19TH AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-1943
Practice Address - Country:US
Practice Address - Phone:602-284-6747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty