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Individual

DR. PATRICK ANTHONY WEGMAN I

Active
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Individual

DR. PATRICK ANTHONY WEGMAN I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301046310
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03 00389
PHYSICIANS HEALTH PLAN
MI
01
070000811
RAILROAD MEDICARE
MI
01
0700832
HEALTH PLUS
MI
01
07036
MCLAREN MEDICAID
MI
01
0781022
BLUE CROSS
MI
05
1510770
MI
Enumeration date
07/27/2006
Last updated
03/10/2023
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