MR. Michael James Wiedmeyer, L.P.N.

NPI #1013975150 in West Bend, Wisconsin

Provider Information

NPI Number
1013975150
Entity Type
Individual
Name
MR. Michael James Wiedmeyer, L.P.N.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Licensed Practical Nurse
Credential
L.P.N.
Enumeration Date
May 1, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
820 DECKER DR
ZIP Code
53090-2341
Phone
(262) 306-9815

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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