Individual
JODI L WIEBELHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
785 SUMMIT AVE, OCONOMOWOC, WI 53066-3844
(262) 569-8488
Mailing address
N17W24100 RIVERWOOD DR, SUITE 250, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
135847-030
WI
Other
Enumeration date
07/24/2007
Last updated
10/26/2011
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