Individual
BRYCE WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
W4497 EBENEZER DR, WATERTOWN, WI 53094-9406
(920) 723-8330
Mailing address
506 BAYFIELD DR, JEFFERSON, WI 53549-1076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1100574-30
WI
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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