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Individual

DR. ROBERT L WEGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1120 GROVE AVE, RACINE, WI 53405-3028
(262) 637-7917
(262) 637-6786
Mailing address
1120 GROVE AVE, RACINE, WI 53405-3028
(262) 637-7917
(262) 637-6786

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1310
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38570200
WI
Enumeration date
03/19/2007
Last updated
02/22/2008
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