Individual
JOHN M WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
300 E WARWICK DR, ALMA, MI 48801-1014
(989) 466-3228
Mailing address
1225 ABBEY LN, MT PLEASANT, MI 48858-9137
(989) 317-0335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153701280
BCBSM
MI
Enumeration date
12/16/2005
Last updated
08/21/2024
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