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General NPI Number Information
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NPI Number | 1780656678
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Entity Type | Individual
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Provider Name | JOSEPH KENNETH WEISTROFFER M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1140 N STATE ST
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City | SAINT IGNACE
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State | MI
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Zip | 49781-1048
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Country | US
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Telephone | 906-643-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 555 BAY ST
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City | BOYNE CITY
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State | MI
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Zip | 49712-9311
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 036120245
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301110670
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License Number State | MI
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