Individual
NATHAN WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1265 LOMBARDI AVENUE, GREEN BAY, WI 54304
(920) 569-7873
Mailing address
1265 LOMBARDI AVE, GREEN BAY, WI 54304-3927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
886-39
WI
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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