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Brandon Wegenke
NPI 1922676659 · on the registry since 2021
Practice
- Address
- 705 Garwood St
Mt Pleasant, MI 48858 - Phone
- (517) 420-8173
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan