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Individual

MS. PEYTON FLYNN WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8659-23
WI

Other

Enumeration date
10/02/2025
Last updated
10/02/2025
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