Individual
SHANNON WEGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
SSM HEALTH OUTPATIENT CENTER, 703 S BROOKS ST, MADISON, WI 53715
(608) 260-2915
Mailing address
2306 FRESHFORD DR, WAUNAKEE, WI 53597-9400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
126674
WI
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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