# PAUL DANIEL WEIDMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245342765
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101261879 | VA | Yes |
| 207Q00000X | Family Medicine Physician | 21733 | WV | — |
| 207Q00000X | Family Medicine Physician | 3584922 | OH | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 0101261879 | VA | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/17/2018