Individual
DR. ALEX DAVID WEDIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
464 WATER ST, PRAIRIE DU SAC, WI 53578-1127
(608) 643-3855
Mailing address
612 N WASHINGTON ST, SPRING GREEN, WI 53588-9114
(608) 588-4303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001029-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
07/19/2022
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