Individual
BRIAN WEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18425 EMERALD DR UNIT B, BROOKFIELD, WI 53045-0606
(715) 690-4389
Mailing address
18425 EMERALD DR UNIT B, BROOKFIELD, WI 53045-0606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5774
WI
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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