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Mr. Michael James Wiedmeyer, LPN
Licensed Practical Nurse in West Bend, Wisconsin
NPI 1013975150

Michael James Wiedmeyer is a Licensed Practical Nurse based in West Bend, WI. Michael James Wiedmeyer practices in West Bend, WI and has the professional credentials of LPN. The NPI Number for Michael James Wiedmeyer is 1013975150 and holds a License No. 33507-031 (Wisconsin).

The current practice location address for Michael James Wiedmeyer is 820 Decker Dr, West Bend, WI and can be reached out via phone at 262-306-9815.

Location: 820 Decker Dr, West Bend, WI, 53090-2341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013975150
Provider Name
Michael James Wiedmeyer
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
820 Decker Dr, West Bend, WI, 53090-2341
Phone Number
262-306-9815
Fax Number
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38335700 05 WI
institution
Provider Business Practice Location Address Details
Address
820 Decker Dr
City
West Bend
State
Wisconsin
Zip
53090-2341
Phone Number
262-306-9815
Fax Number
person
Provider Business Mailing Address Details
Address
820 Decker Dr
City
West Bend
State
Wisconsin
Zip
53090-2341
Phone Number
262-306-9815
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
33507-031 (Wisconsin)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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