Individual
MR. ADAM D WEICHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
415 JEFFERSON ST NORTH, TRI-COUNTY HEALTH CARE, WADENA, MN 56482-1296
(218) 631-3510
(218) 631-7507
Mailing address
415 JEFFERSON ST NORTH, TRI-COUNTY HOSPITAL, WADENA, MN 56482-1296
(218) 631-3510
(218) 631-7507
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11301
MN
363AM0700X
Medical Physician Assistant
1870
MN
363AS0400X
Surgical Physician Assistant
1870
MN
Other
Enumeration date
02/14/2013
Last updated
10/24/2016
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