NPI 1811354301

Katie Weidner, RTRCT

Practitioner Computed Tomography Radiologic Technologist Green Bay, WI

Practice location

Address: 744 S Webster Ave, Green Bay, WI 54301-3505
Phone: (920) 433-3411
Mailing address: 2586 Gemini Rd, Green Bay, WI 54311-4608

Registered specialties

Computed Tomography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X Licence 427695 (WI)

Other Radiologic Technologist providers in Wisconsin →

Registry record

NPI: 1811354301
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2016
Record last updated: 28 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.