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Individual

DAVID GORDON WEEGAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8231
(920) 926-8997
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14568-33
WI

Other

Enumeration date
07/15/2021
Last updated
03/12/2024
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