Individual
ERIC E WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2550 FLOWOOD DR, SUITE 200, FLOWOOD, MS 39232-9303
(601) 939-9999
(601) 939-0590
Mailing address
2550 FLOWOOD DR, SUITE 200, FLOWOOD, MS 39232-9303
(601) 939-9999
(601) 939-0590
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
13571
MS
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
13571
MS
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
13571
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119623
—
MS
Enumeration date
07/02/2006
Last updated
09/11/2025
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