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Individual
DR. JOHN A WEIGELT
Active
Individual
DR. JOHN A WEIGELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
33969
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000329M
HUMANA
—
05
—
1073565388
—
WI
05
—
31825900
—
WI
Enumeration date
05/16/2006
Last updated
11/01/2012
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