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Individual
DR. WYATT JOSEPH WEINHEIMER
Active
Individual
DR. WYATT JOSEPH WEINHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R1151
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261141669
TAX ID
TX
Enumeration date
05/21/2012
Last updated
01/20/2025
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