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Individual

RICHARD R WESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1218 W KILBOURN AVE, SUITE 301, MILWAUKEE, WI 53233-1330
(414) 276-6000
(414) 276-1758
Mailing address
1218 W KILBOURN AVE, SUITE 301, MILWAUKEE, WI 53233-1330
(414) 276-6000
(414) 276-1758

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2498
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00996892
MEDICARE RR
WI
Enumeration date
11/02/2009
Last updated
02/29/2012
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