Individual
ELI WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
20 S PARK ST STE 202, MADISON, WI 53715-1386
(608) 287-2090
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7523-23
WI
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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