Organization
PENNY A WESSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENNY ANN WESSON MD (OWNER)
(262) 691-3430
Entity
Organization
Contact information
Practice address
N34W28453 TAYLORS WOODS RD, PEWAUKEE, WI 53072-3365
(262) 691-3430
Mailing address
N34W28453 TAYLORS WOODS RD, PEWAUKEE, WI 53072-3365
(262) 691-3430
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46894020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34571200
—
WI
Enumeration date
10/03/2005
Last updated
07/09/2010
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