Individual
DR. CRISTIN A WEICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
205 E LAUREL BLVD, POTTSVILLE, PA 17901-2534
(570) 622-1887
(570) 622-1959
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS013220
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013949780001
—
PA
01
—
P00232917
RAILROAD MEDICARE
PA
Enumeration date
08/24/2005
Last updated
02/26/2017
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