Individual
SHEILA M WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7000
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3820-23
WI
363AS0400X
Surgical Physician Assistant
Primary
3820
WI
Other
Enumeration date
07/13/2016
Last updated
09/14/2022
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