Individual
STEVEN WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E MORRISSEY DR, ELKHORN, WI 53121-4395
(262) 741-6095
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
55060-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012272
—
WI
Enumeration date
12/09/2005
Last updated
10/24/2024
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