Miquela C. Wiegel PA-C - Physician Assistant in Albuquerque, New Mexico | ProviderWire

Full Name

Miquela Celisse Wiegel PA-C

NPI Number

1851907646

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/17/2020

Specialties

(Taxonomies)

Name

Physician Assistant

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

New Mexico

License Number

PA2022-0010

Contact
Information

Purpose

Mailing

Location

Address

PO BOX 26666

201 CEDAR ST SE STE 7600

City

Albuquerque

Albuquerque

State

NM

NM

Postal Code

87125-6666

87106-4921

Country

US

US

Telephone Number

(505) 923-6770

(505) 563-2500

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/26/2022

Provider Address

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