RANDALL SCOTT WEIDEMAN

WAUKESHA, WI
NPI1629011143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  4297-024)
Enumeration Date2006-06-13
Last Update Date2007-07-08
Business Address
-- RANDALL SCOTT WEIDEMAN PT
1250 RIVER PLACE BLVD
WAUKESHA, WI 53189-7752
Phone number: 262-542-5216
Mailing Address
-- RANDALL SCOTT WEIDEMAN PT
1250 RIVER PLACE BLVD
WAUKESHA, WI 53189-7752
Phone number: 262-542-5216
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