Individual
MICHAEL WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
97 NC-125, ROANOKE RAPIDS, NC 27870
(252) 537-1933
(252) 537-1936
Mailing address
102 PROFESSIONAL PARK, STE C, OXFORD, NC 27565-2501
(919) 603-0368
(919) 603-0842
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200500885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902194
—
NC
Enumeration date
02/01/2006
Last updated
06/20/2019
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