Individual
MR. MICHAEL JON WEISPFENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
3 W 4TH ST, WASHBURN, WI 54891-9457
(218) 340-0263
Mailing address
3 W 4TH ST, WASHBURN, WI 54891-9457
(218) 340-0263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11040-024
WI
225100000X
Physical Therapist
8112
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36184600
—
WI
Enumeration date
12/15/2008
Last updated
12/15/2008
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