Wiegand, Timothy J

Wiegand, Timothy J is an individual health care provider with primary practice located at 601 Elmwood Ave Box 655, Rochester NY 14642-8655. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Medical Toxicology is his primary health care specialty. Wiegand, Timothy J can be contacted via phone (585) 275-9555.

Contact Information

Primary practice address
601 Elmwood Ave Box 655 Rochester NY 14642-8655
Phone: (585) 275-9555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 017860 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A88509 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017860 Maine
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 017860 Maine
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 258256 New York

Profile Details

NPI number 1467566398
LBN Legal business name Wiegand, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467566398 NPPES
New Hampshire MEDICAID 30207895
New Hampshire MEDICAID 432977599
New Hampshire MEDICAID 03257283

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