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JOSEPH ALEXANDER WEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2160 E HIDDEN CREEK CT APT 205, OAK CREEK, WI 53154-4412
(262) 378-0275
Mailing address
2160 E HIDDEN CREEK CT APT 205, OAK CREEK, WI 53154-4412
(262) 378-0275

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
194025-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
10039-33
WI

Other

Enumeration date
06/29/2019
Last updated
12/02/2020
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