Brent Robert Weed
Dermatologist Dermatopathologist
3935 N. Lightning Drive
Appleton
, Wisconsin 54913-7890
Brent Robert Weed
Dermatologist Dermatopathologist
3935 N. Lightning Drive
Appleton
, Wisconsin 54913-7890
(920) 684-1439
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Brent Robert Weed
- 801 York St
- Manitowoc, WI
- Zip : 54220-4630
- Fax : (920) 684-1439
- Phone : (920) 663-9008
Second Address
- Brent Robert Weed
- 3935 N. Lightning Drive
- Appleton, WI
- Zip : 54913-7890
- Fax : (920) 686-9674
- Phone : (920) 968-1790
Reviews
FAQs
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What type of doctor is Brent Robert Weed
In what state does Brent Robert Weed practice in?
Where is Brent Robert Weed ’s practice located?
What is Brent Robert Weed ’s gender?
Is Brent Robert Weed a sole practitioner?
Is Brent Robert Weed accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 47142 | MN |
| N | 207N00000X | Dermatologist | 51390-020 | WI |
| Y | 207ND0900X | Dermatopathologist | 51390-020 | WI |
National Provider Identifier
| NPI | 1104804038 |
|---|---|
| Provider Name | Brent Robert Weed |
| First Address | Manitowoc, WI 54220-4630 |
| Second Address | Appleton, WI 54913-7890 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/12/2005 |
| Last Update Date | 02/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I07734 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.