Individual
CHRISTINE MICHELLE WEICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
290 JEFFERSON ST, TIFFIN, OH 44883-3048
(567) 207-2412
Mailing address
290 JEFFERSON ST, TIFFIN, OH 44883-3048
(567) 207-2412
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN110357IV
OH
Other
Enumeration date
06/29/2008
Last updated
06/29/2008
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