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Individual

DEAN M WEICH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
(262) 434-5050
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 434-1000
(262) 434-5050

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
71859
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
71859
WI
208600000X
Surgery Physician
40700
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100093525
WI
Enumeration date
05/10/2017
Last updated
11/23/2022
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