Individual
KEVIN A. WEIDMAN
Active
Individual
KEVIN A. WEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
36166
WI
207XS0106X
Orthopaedic Hand Surgery Physician
36166 HAND SURGERY
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
36166
WI
208600000X
Surgery Physician
36166
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32135100
—
WI
Enumeration date
05/19/2006
Last updated
07/21/2016
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