Individual
JONATHAN WESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, MARINETTE, WI 54143
(715) 735-4200
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
72901
WI
207P00000X
Emergency Medicine Physician
8089
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100087
—
WI
Enumeration date
06/25/2017
Last updated
12/29/2021
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