Individual
MR. JOHN G WEITEKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
7220 W NATIONAL AVE, WEST ALLIS, WI 53214-4734
(414) 771-1350
(414) 771-2375
Mailing address
4366 S MARY ROSS DR, NEW BERLIN, WI 53151-6554
(414) 771-1350
(414) 771-2375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10406
WI
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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