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Individual

DR. GLENN ALAN WERGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
100 N MAIN ST, WALWORTH, WI 53184
(262) 275-6992
(262) 275-6992
Mailing address
100 N MAIN ST, P O BOX 923, WALWORTH, WI 53184
(262) 275-6992
(262) 275-6992

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1397G
WI

Other

Enumeration date
01/16/2007
Last updated
07/08/2007
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