MICHAEL JAMES WIEDMEYER

WEST BEND, WI
NPI1013975150
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  33507-031)
Enumeration Date2006-05-01
Last Update Date2007-07-09
Business Address
MR. MICHAEL JAMES WIEDMEYER L.P.N.
820 DECKER DR
WEST BEND, WI 53090-2341
Phone number: 262-306-9815
Mailing Address
MR. MICHAEL JAMES WIEDMEYER L.P.N.
820 DECKER DR
WEST BEND, WI 53090-2341
Phone number: 262-306-9815