Kevin A. Weidman
Surgeon Family Doctor - Addiction Medicine Orthopaedic Hand Surgeon Adult Reconstructive Orthopaedic Surgeon
950 N. 35th Street
Milwaukee
, Wisconsin 53208
Kevin A. Weidman
Surgeon Family Doctor - Addiction Medicine Orthopaedic Hand Surgeon Adult Reconstructive Orthopaedic Surgeon
950 N. 35th Street
Milwaukee
, Wisconsin 53208
(414) 831-7954
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Orthopaedic Hand Surgeon
- Adult Reconstructive Orthopaedic Surgeon
- Surgeon
Languages spoken
- English
Location
First Address
- Kevin A. Weidman
- 950 N. 35th Street
- Milwaukee, WI
- Zip : 53208
- Fax : (414) 831-7954
- Phone : (414) 831-7939
Second Address
- Kevin A. Weidman
- 950 N. 35th Street
- Milwaukee, WI
- Zip : 53208
- Fax : (414) 831-7954
- Phone : (414) 831-7939
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | 36166 | WI |
| N | 207XS0106X | Orthopaedic Hand Surgeon | 36166 HAND SURGERY | WI |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 36166 | WI |
| N | 208200000X | Surgeon | 36166 | WI |
| N | 208600000X | Surgeon | 36166 | WI |
National Provider Identifier
| NPI | 1689627507 |
|---|---|
| Provider Name | Kevin A. Weidman |
| First Address | Milwaukee, WI 53208 |
| Second Address | Milwaukee, WI 53208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 21/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 32135100 | (05) | WI |
| D25680 | (02) | |
| D25680 | (02) | WI |
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.