Individual
MR. NATHAN RICHARD WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2050 4TH AVE, STEVENS POINT, WI 54481-1910
(715) 346-4772
(715) 295-8938
Mailing address
8883 HETZE RD, MILLADORE, WI 54454-9709
(715) 457-4721
(715) 295-8938
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
385039
WI
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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