Individual
MOLLY WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 FORTUNE CIR E STE 105B, INDIANAPOLIS, IN 46241-5523
(317) 995-2108
Mailing address
2357 STRINGTOWN PIKE, CICERO, IN 46034-9503
(317) 445-5486
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002535A
IN
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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