Individual
BAMBI R WEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N16W24131 RIVERWOOD DRIVE, WAUKESHA, WI 53188
(262) 696-0696
(262) 696-0683
Mailing address
PO BOX 677, WAUKESHA, WI 53187-0677
(262) 696-0710
(262) 696-5680
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
54042
WI
2085R0001X
Radiation Oncology Physician
54042-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000579033
ANTHEM
IN
Enumeration date
03/21/2007
Last updated
02/09/2017
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