Individual
KORY K WEGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 E SILVER SPRING DR, WHITEFISH BAY, WI 53217-4702
(414) 964-0680
(414) 964-0682
Mailing address
1803 E JUNIPER WAY, HARTLAND, WI 53029-8672
(262) 367-7441
(414) 964-0682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4301WI
WI
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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