Individual
JUSTIN RYAN WIENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12592-24
WI
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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