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Wesley R Wedner
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Mount Vernon, Washington
NPI 1134153398

Wesley R Wedner is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Burlington, WA. Wesley R Wedner practices in Mount Vernon, WA. The NPI Number for Wesley R Wedner is 1134153398 and holds a License No. 08655 (Washington).

The current practice location address for Wesley R Wedner is 17888 W Big Lake Blvd, Mount Vernon, WA and can be reached out via phone at 360-734-6849.

Location: 17888 W Big Lake Blvd, Mount Vernon, WA, 98233-0637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134153398
Provider Name
Wesley R Wedner
Credential
Provider Entity Type
Organization
Address
17888 W Big Lake Blvd, Mount Vernon, WA, 98233-0637
Phone Number
360-734-6849
Fax Number
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
649468 01 WA STERLING PROVIDER NUMBER
7095375 05 WA
204961204961 01 WA PREMERA PROVIDER NUMBER
43340900O2 01 WA GHC PROVIDER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
17888 W Big Lake Blvd
City
Mount Vernon
State
Washington
Zip
98274-8387
Phone Number
360-734-6849
Fax Number
person
Provider Business Mailing Address Details
Address
17888 W Big Lake Blvd
City
Mount Vernon
State
Washington
Zip
98274-8387
Phone Number
360-734-6849
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
08655 (Washington)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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