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Individual

WALTER PETER WEIGLE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 342-4560
Mailing address
325 GASCOIGNE DR, WAUKESHA, WI 53188-2406
(703) 209-7505

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1539-226
WI
106H00000X
Marriage & Family Therapist
Primary
289-228
WI

Other

Enumeration date
10/09/2012
Last updated
10/09/2012
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