MICHAEL EUGENE WEIDEMAN

RAPID CITY, SD
NPI1447526249
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies347C00000X Private Vehicle
Enumeration Date2012-03-26
Last Update Date2012-03-26
Business Address
-- MICHAEL EUGENE WEIDEMAN
1130 E SAINT JAMES ST
RAPID CITY, SD 57701-3056
Phone number: 605-341-2577
Mailing Address
-- MICHAEL EUGENE WEIDEMAN
PO BOX 4070
RAPID CITY, SD 57709-4070
Phone number: 605-341-2577
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