Individual
ANDREW J WEIZENICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3990
Mailing address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3002
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40885900
—
WI
Enumeration date
08/29/2006
Last updated
01/15/2015
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