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Individual

DR. THAIS DORRYNNE WEIBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11055 LITTLE PATUXENT PKWY, SUITE 109, COLUMBIA, MD 21044
(410) 977-1928
(410) 977-1929
Mailing address
4509 ROSEDALE AVE, BETHSEDA, MD 20814
(410) 997-1928
(410) 997-1929

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0057645
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0500911
MD
Enumeration date
05/17/2006
Last updated
01/08/2008
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