Individual
DENISE H WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
600 NORTH WOLFE ST., BLALOCK 616, BALTIMORE, MD 21287
(410) 434-1115
Mailing address
369 LAKE RD, CROWNSVILLE, MD 21032
(443) 822-6817
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0002289
MD
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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