Individual
JOHN D WEGMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
902 CAROLINE ST, PORT ANGELES, WA 98362-3910
(360) 457-8578
(360) 457-4841
Mailing address
902 CAROLINE ST, PORT ANGELES, WA 98362-3910
(360) 457-8578
(360) 457-4841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00010877
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8166704
—
WA
Enumeration date
05/16/2006
Last updated
07/08/2007
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