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1942872197
DAVID GORDON WEEGAR
FOND DU LAC, WI
NPI
1942872197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 14568-33)
Enumeration Date
2021-07-15
Last Update Date
2024-03-12
Business Address
DAVID GORDON WEEGAR NP
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8231
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Mailing Address
DAVID GORDON WEEGAR NP
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150
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