person
Ms. Mary Jo P Wiemiller, PA
Surgical Physician Assistant in Milwaukee, Wisconsin
NPI 1689628703

Mary Jo P Wiemiller is a Surgical Physician Assistant based in Milwaukee, WI and is specialized in Surgical. Mary Jo P Wiemiller practices in Milwaukee, WI and has the professional credentials of PA. The NPI Number for Mary Jo P Wiemiller is 1689628703 and holds a License No. 1621 (Wisconsin).

The current practice location address for Mary Jo P Wiemiller is 945 N 12Th St, Milwaukee, WI and can be reached out via phone at 414-219-7880. You can also correspond with Mary Jo P Wiemiller through the mailing address at 945 N 12TH ST, MILWAUKEE, WI - 53233-1305 (mailing address contact number: 414-219-7880).

Location: 945 N 12Th St, Milwaukee, WI, 53233-1305
person
Provider Profile Details
NPI Number
1689628703
Provider Name
Mary Jo P Wiemiller
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
945 N 12Th St, Milwaukee, WI, 53233-1305
Phone Number
414-219-7880
Fax Number
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006806261B 01 HUMANA
41975200 05 WI
institution
Provider Business Practice Location Address Details
Address
945 N 12Th St
City
State
Zip
53233-1305
Phone Number
414-219-7880
Fax Number
person
Provider Business Mailing Address Details
Address
945 N 12Th St
City
State
Zip
53233-1305
Phone Number
414-219-7880
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1621 (Wisconsin)
Definition
Definition to come...
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