New York
Office of the Professions
WIEGN PHI
Medicine (Physician, Including M Ds & D Os)
License number
209350
Date granted
01/20/1998
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
SAN JOSE CA
nymedicine.org
ID 30310635
LAST UPDATED 2026-04-24 22:58:39 UTC
LAST UPDATED 2026-04-24 22:58:39 UTC
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