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Individual
MR. PHILIP LOUIS WEIDNER II
Active
Individual
MR. PHILIP LOUIS WEIDNER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2065
ID
363A00000X
Physician Assistant
PA60191252
WA
363AM0700X
Medical Physician Assistant
PA-2065
ID
363AS0400X
Surgical Physician Assistant
PA-2065
ID
Other
Enumeration date
12/01/2010
Last updated
03/20/2026
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