Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC 382 | TN |
NPI | 1669538229 |
---|---|
Provider Name | Dr. Donald Gilbert Wegener |
First Address | Powell, TN 37849-5224 |
Second Address | Powell, TN 37849-5224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 08/07/2007 |