Individual
DR. KATRINA WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
70234-20
WI
207Q00000X
Family Medicine Physician
Primary
036.152795
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083148464
—
WI
Enumeration date
04/12/2017
Last updated
12/20/2020
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