Jerilou A Wiedmeyer, MD | |
1650 S 41st St, Manitowoc, WI 54220-7316 | |
(920) 320-4500 | |
(920) 320-4584 |
Full Name | Jerilou A Wiedmeyer |
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Gender | Female |
Speciality | Family Medicine |
Location | 1650 S 41st St, Manitowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376736140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 44729 (Wisconsin) | Primary |
Entity Name | Lac Courte Oreilles Governing Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194830208 PECOS PAC ID: 7810983517 Enrollment ID: O20040420001318 |
Mailing Address | Practice Location Address |
---|---|
Jerilou A Wiedmeyer, MD 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-4500 | Jerilou A Wiedmeyer, MD 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-4500 |
Dr. Michael Herbert Hoffman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 Custer St, Suite D, Manitowoc, WI 54220 Phone: 920-652-9310 | |
Michael Tapscott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4810 Expo Dr, Manitowoc, WI 54220 Phone: 920-717-0800 | |
Bryan J Mulheron, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3509 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5731 | |
Laurence J Verlinden, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378 | |
Patricia J Cantagallo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Reed Ave, Manitowoc, WI 54220 Phone: 920-682-8841 | |
Gary A Schmidt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378 | |
Dr. Diane L Staudinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3509 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5731 Fax: 920-686-5726 |