Individual
DR. LEE WEIDAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1175 MEDARY AVE S, BROOKINGS, SD 57006-3949
(605) 688-4630
Mailing address
509 W 8TH ST, DELL RAPIDS, SD 57022-2122
(507) 829-1631
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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