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Individual
JOEL TRACY WEIGAND
Active
Individual
JOEL TRACY WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14756
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080048662
RAILROAD MEDICARE
—
05
—
100083730A
—
KS
01
—
1437283991
GROUP NPI
—
01
—
14746
COVENTRY
—
01
—
1475
BCBS
KS
01
—
4096976
AETNA
—
01
—
993
PREFERRED PLUS OF KANSAS
KS
01
—
CS5682
RAILROAD GROUP ID
—
Enumeration date
11/04/2005
Last updated
05/08/2020
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