Wiberg, James J

Wiberg, James J is an individual health care provider with primary practice located at 255 Smith Ave N Suite 100, Saint Paul MN 55102-2572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Wiberg, James J can be contacted via phone (651) 241-5000.

Contact Information

Primary practice address
255 Smith Ave N Suite 100 Saint Paul MN 55102-2572
Phone: (651) 241-5000
Fax: (651) 241-7678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 18659 Minnesota

Profile Details

NPI number 1154382927
LBN Legal business name Wiberg, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 19th, 2011 - about 15 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 1154382927 NPPES
Minnesota MEDICAID 336882300

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