Individual
ANN L WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5199
(414) 328-7197
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 219-5199
(414) 328-7197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4859-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095691
—
WI
05
—
100095704
—
WI
Enumeration date
11/18/2019
Last updated
12/18/2023
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