Provider Demographics
NPI:1316267149
Name:WIEGAND, BENJAMIN DAVID (PA)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:DAVID
Last Name:WIEGAND
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:828-587-6312
Mailing Address - Fax:828-586-8209
Practice Address - Street 1:1998 HENDERSONVILLE RD
Practice Address - Street 2:STE 51
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2349
Practice Address - Country:US
Practice Address - Phone:828-693-9199
Practice Address - Fax:828-692-2487
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2014-12-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant