Individual
NATHAN WEITLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 N OUTAGAMIE ST, APPLETON, WI 54914-3435
(920) 470-3424
Mailing address
417 N OUTAGAMIE ST, APPLETON, WI 54914-3435
(920) 470-3424
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
226933-30
WI
Other
Enumeration date
03/09/2023
Last updated
03/21/2023
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