Holly J Weiland, DPT is a
Physical Therapist physician based in Fond Du Lac, Wisconsin. Holly J Weiland is licensed to practice in Wisconsin (license number 13512) and her current practice location is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 907-7270.
NPI number for Holly J Weiland is 1255855045 and her current mailing address is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255855045.
Physician's Profile
| Full Name | Holly J Weiland |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 210 Wisconsin American Dr, Fond Du Lac, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255855045
- Provider Enumeration Date: 08/02/2017
- Last Update Date: 12/19/2019
Medical Identifiers
Medical identifiers for Holly J Weiland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255855045 | NPI | - | NPPES |
| 10070734 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 13512-24 (Wisconsin) | Secondary |
| 225100000X | Physical Therapist | 13512 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly J Weiland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Holly J Weiland, DPT
210 Wisconsin American Dr,
Fond Du Lac, WI 54937-2999
Ph: () - | Holly J Weiland, DPT
210 Wisconsin American Dr,
Fond Du Lac, WI 54937-2999
Ph: (920) 907-7270 |
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