Individual
MRS. JACQUELINE SUE WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 N MAIN ST, MADISON, NE 68748-6009
(402) 454-3723
Mailing address
501 S 8TH ST, HUMPHREY, NE 68642-3105
(402) 993-2991
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1418
NE
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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