Dr. Jessica Ann Weddle
Otolaryngology/Facial Plastic Surgery
512 S 28th Ave
Wausau
, Wisconsin 54401-4147
Dr. Jessica Ann Weddle
Otolaryngology/Facial Plastic Surgery
512 S 28th Ave
Wausau
, Wisconsin 54401-4147
(715) 847-2325
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Jessica Ann Weddle
- 512 S 28th Ave
- Wausau, WI
- Zip : 54401-4147
- Fax : (715) 847-2325
- Phone : (715) 847-2020
Second Address
- Dr. Jessica Ann Weddle
- 512 S 28th Ave
- Wausau, WI
- Zip : 54401-4147
- Fax : (715) 847-2325
- Phone : (715) 847-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101016320 | MI |
National Provider Identifier
| NPI | 1275725913 |
|---|---|
| Provider Name | Dr. Jessica Ann Weddle |
| First Address | Wausau, WI 54401-4147 |
| Second Address | Wausau, WI 54401-4147 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2007 |
| Last Update Date | 13/04/2020 |
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.