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Individual
MELISSA BRANDON WEIMER
Active
Individual
MELISSA BRANDON WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61845
CT
207R00000X
Internal Medicine Physician
DO28980
OR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
287202
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
61845
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287202
NY STATE
NY
Enumeration date
06/20/2007
Last updated
06/01/2021
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