Individual
MRS. PATRICIA K WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 W LOVERS LANE RD, PERU, IN 46970-8961
(765) 395-7149
Mailing address
42 W LOVERS LANE RD, PERU, IN 46970-8961
(765) 395-7149
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
IN ID 69947
IN
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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