Individual
PAUL WEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1105 CLIFTY DR, MADISON, IN 47250-1614
(812) 273-0207
Mailing address
707 S RIVERVIEW DR, HANOVER, IN 47243-8931
(812) 801-3954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013867A
IN
1223G0001X
General Practice Dentistry
12120
TN
Other
Enumeration date
07/07/2022
Last updated
01/18/2024
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