Individual
RYAN WEGENAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5716 HICKORY PLZ, SUITE 200, NASHVILLE, TN 37211-8546
(615) 831-3711
(615) 831-3713
Mailing address
PO BOX 110339, NASHVILLE, TN 37222-0339
(615) 831-3711
(615) 831-3713
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
06286
TN
Other
Enumeration date
05/29/2007
Last updated
08/07/2008
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