Individual
MARY ROSE WEDEGAERTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
97 CORNERSTONE DR, CARY, NC 27519-8403
(919) 460-0993
(919) 481-3952
Mailing address
97 CORNERSTONE DR, CARY, NC 27519-8403
(919) 460-0993
(919) 482-3952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86293
BCBS
NC
05
—
8986293
—
NC
Enumeration date
06/01/2006
Last updated
08/07/2013
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