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Individual
MR. RYAN JAMES WEGNER
Active
Individual
MR. RYAN JAMES WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9200607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307530300
—
FL
01
—
592-10228
BLUE CROSS BLUE SHIELD
AL
01
—
63934
BSFL
FL
01
—
P01030610
MEDICARE RAILROAD
—
Enumeration date
04/04/2006
Last updated
10/04/2012
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