IndividualActive
Brita Wegener, PA-C
NPI 1487889929 · Medical Physician Assistant · Forest Lake, MN
Provider details
- NPI number
- 1487889929
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1540 Lake St S
Forest Lake, MN 55025-2628
Phone: (651) 464-7100
Approximate (ZIP-level) locationGet directions
Mailing address
1540 Lake St S
Forest Lake, MN 55025-2628
Registry dates
- Enumerated
- 2009-05-28
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.