Individual
JEFFREY THOMAS WEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 OLD MINNESOTA AVE, SAINT PETER, MN 56082-1763
(507) 934-2325
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10628
MN
Other
Enumeration date
08/10/2009
Last updated
07/15/2020
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