Jeff William Wiemiller, PT
Physical Therapist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1285641373
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285641373
- Entity type
- Individual (NPI-1)
- Name
- Jeff William Wiemiller
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 7617 | MN | Yes |
Practice location
650 Taft St Ne#400
Minneapolis, MN 55413-2832
Phone 612-331-1815
Mailing address
1716 Niagara StWaconia, MN 55387-9453
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