Jeffrey Kevin Weidner, PA-C

NPI #1306448063 in Macomb, Michigan

Provider Information

NPI Number: 1306448063
Entity Type: Individual
Name: Jeffrey Kevin Weidner, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 9, 2020
Last Updated: Nov 9, 2020

Practice Location

Address: 23326 ALLIUM AVE
City: Macomb
State: Michigan
ZIP Code: 48042-5834
Phone: (810) 941-1698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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