Individual
ROBERTA JO WEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1305 W MAIN ST, WHITEWATER, WI 53190-1503
(262) 473-4548
(262) 472-7691
Mailing address
1305 W MAIN ST, WHITEWATER, WI 53190-1503
(262) 473-4548
(262) 472-7691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38197-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497706600
—
WI
Enumeration date
05/12/2006
Last updated
12/23/2020
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