Weidman, Kevin A.
Weidman, Kevin A. is an sole proprietor health care provider with primary practice located at 950 N. 35Th Street , Milwaukee WI 53208. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Weidman, Kevin A. can be contacted via phone (414) 831-7939.Contact Information
Primary practice address
950 N. 35Th Street
Milwaukee WI 53208
Phone: (414) 831-7939
Fax: (414) 831-7954
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36166 | Wisconsin |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 36166 | Wisconsin |
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 36166 | Wisconsin |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 36166 HAND SURGERY | Wisconsin |
Profile Details
NPI number | 1689627507 |
---|---|
LBN Legal business name | Weidman, Kevin A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2006 |
Last updated | Jul 21st, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689627507 | NPPES |
Wisconsin | MEDICAID | 32135100 |
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