Search › Wisconsin › 101YA0400X
Mark Weitkum, SAC-IT
NPI 1063647147 · on the registry since 2009
Practice
- Address
- 797 E Geneva St
Elkhorn, WI 53121 - Phone
- (262) 723-1455
- Fax
- (262) 723-1556
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin