Individual
DR. TIMOTHY CLARK WEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-6900
(208) 625-6910
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
M12442
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065739
—
MT
Enumeration date
01/26/2007
Last updated
01/18/2017
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