Individual
ADA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 WICHITA CT, MADISON, WI 53719-2403
(608) 772-4634
Mailing address
17 WICHITA CT, MADISON, WI 53719-2403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002182
VA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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