Joey Alan Wegmann PA-C

NPI 1376656827 - Physician Assistant - 363AS0400X

NPI Details
NPI 1376656827
Gender Male
Enumeration Date 08/17/2006
Last Updated 02/07/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
302 BROADWAY ST
MOUNT VERNON IL, 62864-5116, US
Phone (618) 242-4750
Fax (618) 242-7674
Business Location
1700 N. HENDERSON
OSF GALESBURG CLINIC PROMPT CARE
GALESBURG IL, 61401, US
Phone (309) 343-1000
Fax (309) 343-5207
Toxanomy
Taxonomy Code 363AS0400X
License State Illinois
License Number 085000851
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According to our database, Mr. Joey Alan Wegmann PA-C NPI is 1376656827, taxonomy code is 363AS0400X and license number is 085000851, license state is located at Illinois. Joey Alan Wegmann PA-C physically located at 302 Broadway St, Mount Vernon IL, 62864-5116. NPI Number Joey Alan Wegmann PA-C has the Individual type.

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1376656827 NPI number is provided on an as is basis without warranty of any kind. 1376656827 is maintained by the National Plan & Provider Enumeration System. The contents of Joey Alan Wegmann PA-C are for informational purposes only.