Organization
EAST WIND HEALTHCARE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H RICHARD WEINER M.D. (PRACTICE OPERATOR)
(920) 997-0511
Entity
Organization
Contact information
Practice address
2600 N RICHMOND ST, SUITE C, APPLETON, WI 54911-1956
(920) 997-0511
Mailing address
2600 N RICHMOND ST, SUITE C, APPLETON, WI 54911-1956
(920) 997-0511
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29316-20
WI
Other
Enumeration date
09/29/2013
Last updated
09/29/2013
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