Individual
THEODORE ELDON WELTZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N MAYFAIR RD STE 600, WAUWATOSA, WI 53226-1428
(414) 727-4455
(414) 727-4690
Mailing address
2500 N MAYFAIR RD STE 600, WAUWATOSA, WI 53226-1428
(414) 727-4455
(414) 727-4690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35333
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32019500
—
WI
Enumeration date
08/19/2005
Last updated
07/23/2020
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