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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT ROBERT WEED, M.D.

Active

BRENT ROBERT WEED, M.D. is a Dermatopathology healthcare provider located in APPLETON, Wisconsin. NPI 1104804038 is currently active in the NPPES registry. Verify at CMS.

Dermatopathology · APPLETON, WI

Registration Details

NPI Number
1104804038
Provider Type
Individual
Gender
Male
NPI Issued
Dec 30, 2005 (20.634842255135 yrs)
Last Updated
Aug 2, 2021
Licenses
51390-020 (WI)
51390-20 (WI)
51390-020 (WI)
47142 (MN)

Practice Information

Address
3935 N. LIGHTNING DRIVE
APPLETON, WI, 549137890
Browse WI providers · Browse ZIP 54913
Phone
9209681790
Fax
9206869674
Primary Specialty
Dermatopathology
207ND0900X
Additional Specialty
Dermatopathology (Pathology)
Additional Specialty
Dermatopathology
Additional Specialty
Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.