Organization
GENE P. WEGNER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE WEGNER MD (OWNER)
(608) 339-3326
Entity
Organization
Contact information
Practice address
302 W LAKE STREET, FRIENDSHIP, WI 53934
(608) 339-3326
(608) 826-2710
Mailing address
302 W LAKE STREET, FRIENDSHIP, WI 53934
(608) 339-3326
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31036800
—
WI
Enumeration date
08/17/2007
Last updated
10/17/2007
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