Individual
JENNIFER S WEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
49459
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43539500
—
WI
Enumeration date
05/30/2006
Last updated
11/23/2021
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