Provider Demographics
NPI:1386148799
Name:WEINHAMMER, ANNIKA PAMALA (MD)
Entity type:Individual
Prefix:
First Name:ANNIKA
Middle Name:PAMALA
Last Name:WEINHAMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNIKA
Other - Middle Name:
Other - Last Name:SELVICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5249 E TERRACE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-8339
Practice Address - Country:US
Practice Address - Phone:608-265-1288
Practice Address - Fax:608-265-1249
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI74295-20207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology