Individual
DR. PATRICK ANTHONY WEGMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 W KING ST STE H, OWOSSO, MI 48867-2100
(989) 723-8281
(989) 723-6846
Mailing address
911 W KING ST, OWOSSO, MI 48867-2121
(989) 725-2702
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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