| NPI | 1962654269 |
|---|---|
| Other Name | SUSIE M WEGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 20009) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 20009) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2021-02-02 |