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Individual

ZACHARY ALAN WEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
Mailing address
W233N7644 BERRYWOOD CT, SUSSEX, WI 53089-1552
(262) 444-2653

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8487-226
WI

Other

Enumeration date
06/20/2025
Last updated
06/23/2025
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