Individual
MR. MICHAEL JAMES WEIDMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, SAC-IT
Contact information
Practice address
15285 WATERTOWN PLANK RD STE 102, ELM GROVE, WI 53122-2339
(262) 686-4478
(262) 208-1483
Mailing address
15285 WATERTOWN PLANK RD STE 102, ELM GROVE, WI 53122-2339
(262) 686-4478
(262) 208-1483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16604-130
WI
1041C0700X
Clinical Social Worker
Primary
8211-123
WI
Other
Enumeration date
06/14/2012
Last updated
05/10/2026
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