Individual
DR. JOSHUA AMMON WEENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1210 PECOR ST, OCONTO, WI 54153
(920) 834-5737
Mailing address
1210 PECOR ST, OCONTO, WI 54153-1768
(920) 834-5737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001796-15
WI
Other
Enumeration date
09/04/2013
Last updated
07/24/2018
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