Kevin Weidman, MD

NPI 1689627507 · on the registry since 2006 · sole proprietor

Practice

Address: 950 N. 35th Street
Milwaukee, WI 53208
Phone: (414) 831-7939
Fax: (414) 831-7954
Organisation at this address: Milan Grbic, Pt Llc
Dove Hydration & Wellness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207XS0114X
207XS0114X
Also registered as: 208600000X
207QA0401X
207XS0106X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-07-21

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