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Organization
COREY W WESNER, DPM, SC
Active
Organization
COREY W WESNER, DPM, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS J WIESNER (A/R)
(920) 725-4008
Entity
Organization
Contact information
Practice address
1440 S COMMERCIAL ST, NEENAH, WI 54956-4638
(920) 725-4008
(920) 725-4218
Mailing address
1440 S COMMERCIAL ST, NEENAH, WI 54956-4638
(920) 725-4008
(920) 725-4218
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
759025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
759025
LICENSE
WI
Enumeration date
05/19/2008
Last updated
07/20/2010
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