Individual
JESIKA M WEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1483
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(920) 457-4461
(920) 459-1483
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
993-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016056
—
WI
Enumeration date
08/14/2009
Last updated
02/22/2023
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