Individual
MS. SUSAN LYNN WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Mailing address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
174807-30
WI
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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