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1013149079
JEFFREY THOMAS WEIDEMAN
SAINT PETER, MN
NPI
1013149079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MN 10628)
Enumeration Date
2009-08-10
Last Update Date
2020-07-15
Business Address
JEFFREY THOMAS WEIDEMAN PA-C
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082-1763
Phone number: 507-934-2325
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Mailing Address
JEFFREY THOMAS WEIDEMAN PA-C
1230 E MAIN ST PO BOX 8674
MANKATO, MN 56001-5066
Phone number: 507-625-1811
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