Individual
DR. NATHAN T. WEGNER
Active
Individual
DR. NATHAN T. WEGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2000153518
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27335011
BCBS
MO
01
—
P0002191
MEDICARE RR
MO
Enumeration date
05/24/2005
Last updated
03/23/2022
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