Individual
CHYANN WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
641 LATTON LN STE A, PORTAGE, WI 53901-1078
(608) 742-1300
Mailing address
1101 WAUONA TRL, PORTAGE, WI 53901-1407
(608) 575-5245
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6289-12
WI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
02/26/2018
Last updated
06/23/2025
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