Weigandt, Larry J

Weigandt, Larry J is an individual health care provider with primary practice located at 1501 S Madison St , Appleton WI 54915-1846. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Weigandt, Larry J can be contacted via phone (920) 730-4435.

Contact Information

Primary practice address
1501 S Madison St Appleton WI 54915-1846
Phone: (920) 730-4435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X F01376 Wisconsin

Profile Details

NPI number 1154311512
LBN Legal business name Weigandt, Larry J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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