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Individual
JOEL WEGENER
Active
Individual
JOEL WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45155
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-18359
MEDICA - CHOICE
MN
05
—
0595637
—
IA
01
—
1032282
PREFERREDONE
MN
01
—
132038
UCARE
MN
01
—
1725613
ARAZ
MN
05
—
443917100
—
MN
01
—
548R7WE
BCBS
MN
01
—
HP40859
HEALTHPARTNERS
MN
Enumeration date
09/20/2006
Last updated
04/11/2012
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