Individual
KENNETH C WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
43671
WI
208000000X
Pediatrics Physician
52805
AZ
208000000X
Pediatrics Physician
Primary
56450
MN
2080A0000X
Pediatric Adolescent Medicine Physician
56450
MN
Other
Enumeration date
09/26/2006
Last updated
09/18/2020
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