TIERRA WEGLARZ, DO

Family Medicine

Active Individual
NPI: 1154901528

Practice Address

5111 N GLEN PARK PLACE RD
Peoria, IL 61614

Phone: (309) 683-5700

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No 90200000X ()
Family Medicine 207Q00000X Yes 036170921 (IL)

Frequently Asked Questions

NPI 1154901528 is the National Provider Identifier for TIERRA WEGLARZ, DO, a Family Medicine provider located in Peoria, IL. This NPI was enumerated on April 10, 2021.
TIERRA WEGLARZ, DO practices at 5111 N GLEN PARK PLACE RD, Peoria, IL 61614.

Quick Facts

NPI
1154901528
Type
Individual
Enumerated
Apr 10, 2021
Last Updated
Jul 15, 2024

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