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Organization
WATERTOWN PATHOLOGY PC
Active
Organization
WATERTOWN PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LYLE WEGNER MD (PRESIDENT)
(605) 882-7749
Entity
Organization
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201
(605) 882-7000
Mailing address
PO BOX 875, WATERTOWN, SD 57201
(605) 882-7000
(605) 882-5759
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/06/2006
Last updated
08/22/2020
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