Individual
CASSANDRA EVON WEISNICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5534
Mailing address
313 ADAMS ST, ROSENDALE, WI 54974-9745
(414) 828-1062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14920-33
WI
Other
Enumeration date
12/20/2023
Last updated
01/10/2024
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