Individual
HOLLY J WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7270
Mailing address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
13512-24
WI
225100000X
Physical Therapist
Primary
13512
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10070734
—
WI
Enumeration date
08/02/2017
Last updated
12/19/2019
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