Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1386801322 |
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| LBN Legal business name | COREY W WESNER, DPM, SC | ||||||||
| Authorized official | LOIS WIESNER - (A/R) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/19/2008 | ||||||||
| Last updated | 07/20/2010 - About 16 years ago | ||||||||
| Identifiers |
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