Individual
JEFFREY C WEYENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
E9321 CRAIN RD, NEW LONDON, WI 54961-8520
(920) 716-4694
(920) 716-9020
Mailing address
E9321 CRAIN RD, NEW LONDON, WI 54961-8520
(920) 716-4694
(920) 716-9020
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WI
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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