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Individual
MARY J. WEIKER
Active
Individual
MARY J. WEIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3961-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40424600
—
WI
Enumeration date
11/15/2006
Last updated
11/18/2009
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