Individual
DR. REBECCA SUE WEISBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1250 GOEMANN RD, FAIRMONT, MN 56031-4659
(507) 235-2523
(507) 235-2525
Mailing address
1250 GOEMANN RD, FAIRMONT, MN 56031-4659
(507) 235-2523
(507) 235-2525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1334
NE
152W00000X
Optometrist
Primary
3462
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025779000
—
NE
Enumeration date
08/07/2009
Last updated
01/26/2017
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