Individual
MR. CORY DYLAN OEGEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Mailing address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5418
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295324929
—
WI
Enumeration date
01/17/2021
Last updated
02/18/2026
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