Dana Ann Wieck

Individual provider Active NPI Speech-Language Pathologist · Edgerton, MN

NPI 1508700741 · NPPES record last updated Apr 17, 2026

Key facts

NPI
1508700741
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3577477 (MN)
Practice address
423 1St Ave W
Edgerton, MN 56128-1123
Phone
(507) 442-7881
NPI assigned
Apr 17, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3577477MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edgerton Publicschool Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3577477 MN Yes

Addresses

Primary practice location

423 1St Ave W
Edgerton, MN 56128-1123

Mailing address

PO Box 28
Edgerton, MN 56128-0028
Phone (507) 442-7881

Other providers in Edgerton, MN

All providers in Edgerton, MN · Speech-Language Pathologist in Minnesota

Sources for this page

Verify at the official NPI Registry.