Individual
SCOTT A WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1246 ASHLAND AVE STE 205, ZANESVILLE, OH 43701-2861
(740) 454-5271
Mailing address
945 BETHESDA DR STE 200, ZANESVILLE, OH 43701-1880
(740) 454-4788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0045813
MD
207RH0000X
Hematology (Internal Medicine) Physician
35-095771
OH
207RH0000X
Hematology (Internal Medicine) Physician
D0045813
MD
207RX0202X
Medical Oncology Physician
Primary
35-095771
OH
207RX0202X
Medical Oncology Physician
D0045813
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066953
—
OH
01
—
61131403S108NE
BLUE SHIELD
MD
05
—
904001300
—
MD
01
—
930065996
RAILROAD
MD
Enumeration date
05/19/2006
Last updated
04/13/2012
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