Individual
DANIEL J WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2161
(208) 367-2989
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M8601
ID
2085R0202X
Diagnostic Radiology Physician
MD153171
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806390500
—
ID
Enumeration date
05/15/2006
Last updated
01/05/2026
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