Individual
DR. JEFFREY A WEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7280 S 13TH ST STE103, OAK CREEK, WI 53154-1831
(414) 768-9000
(414) 768-9004
Mailing address
7280 S 13TH ST STE 103, OAK CREEK, WI 53154-1831
(414) 768-9000
(414) 768-9004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1599-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38780400
—
WI
Enumeration date
06/22/2006
Last updated
01/08/2010
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