Individual
DR. JOHN A WEIGELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, TRAUMA SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Mailing address
9200 W WISCONSIN AVE, TRAUMA SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
33969
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000329M
HUMANA
—
05
—
1073565388
—
WI
05
—
31825900
—
WI
Enumeration date
05/16/2006
Last updated
11/01/2012
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