Individual
SCOTT A WEGNER
Active
Individual
SCOTT A WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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