# DONALD L WEESE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154323392
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 33863 | OK | — |
| 208800000X | Urology Physician | M-6230 | ID | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 11/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200785630B | — | OK |