Mary Jane Wegman BS

NPI 1619122942 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1619122942
Gender Female
Enumeration Date 12/01/2008
Last Updated 12/01/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1407 SAINT ANDREW ST STE 100
LA CROSSE WI, 54603-2378, US
Phone (608) 785-6266
Fax
Business Location
W10242 DEER PRINT TRL
BLACK RIVER FALLS WI, 54615-5465, US
Phone (715) 284-5154
Fax
Toxanomy
Taxonomy Code 171M00000X
License State Wisconsin
License Number 2309 - 120
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According to our database, Mary Jane Wegman BS NPI is 1619122942, taxonomy code is 171M00000X and license number is 2309 - 120, license state is located at Wisconsin. Mary Jane Wegman BS physically located at 1407 Saint Andrew St Ste 100, La Crosse WI, 54603-2378. NPI Number Mary Jane Wegman BS has the Individual type.

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1619122942 NPI number is provided on an as is basis without warranty of any kind. 1619122942 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jane Wegman BS are for informational purposes only.