Individual
DR. MAC ROMAN WENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 731-4101
Mailing address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 731-4101
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
76726
WI
208100000X
Physical Medicine & Rehabilitation Physician
9409514
KS
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
76726
WI
Other
Enumeration date
03/29/2018
Last updated
09/28/2022
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