Individual
THERESA ELIZABETH WEERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 TOWER AVE, ESSENTIA HEALTH ST. MARY'S SUPERIOR CLINIC, SUPERIOR, WI 54880-5335
(715) 817-7100
Mailing address
3500 TOWER AVE, ESSENTIA HEALTH ST. MARY'S SUPERIOR CLINIC, SUPERIOR, WI 54880-5335
(715) 817-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57211
WI
390200000X
Student in an Organized Health Care Education/Training Program
125056148
IL
Other
Enumeration date
06/01/2009
Last updated
08/08/2012
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