| Doctor Name: | DR. CARLOS E. WIEGERING |
| NPI Number: | 1265591580 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | ME0066713 |
| Business Practice Address: | 240 Crandon Blvd Suite 115 Key Biscayne, FL - 331491543 |
| Business Phone Number: | 3053650444 |
| Business Fax Number: | |
| Mailing Address: | Po Box 491211, KEY BISCAYNE |
| State: | FL |
| Postal Code: | 331497211 |
| Phone Number: | 3053650444 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | ME0066713 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |