Individual provider · Type 1 NPI

Mary Jo P. Wiemiller, PA

Surgical Physician Assistant · Milwaukee, WI

NPI number 1689628703 Active

Practice location

945 N 12th St
Milwaukee, WI 53233-1305

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1621 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1689628703

Mary Jo P. Wiemiller, PA's National Provider Identifier is 1689628703, issued on May 22, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Milwaukee, WI. The record was last updated on Dec 29, 2021.