Individual
DONALD M WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1942 MILITARY TPKE, PLATTSBURGH, NY 12901-7375
(518) 310-3644
(518) 310-3645
Mailing address
1942 MILITARY TPKE, PLATTSBURGH, NY 12901-7375
(518) 310-3644
(518) 310-3645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
096889
NY
207V00000X
Obstetrics & Gynecology Physician
096889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00577413
—
NY
01
—
11124926
CAQH
NY
Enumeration date
09/09/2005
Last updated
12/01/2016
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