Individual
BRANDON J WEGEHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2000
Mailing address
525 N FOSTER ST, MITCHELL, SD 57301-2966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0787
SD
Other
Enumeration date
08/16/2011
Last updated
10/27/2011
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