Individual
DR. JONATHAN L. WEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 STATE ST, SUITE 245, MONTPELIER, VT 05602-3099
(802) 223-2266
Mailing address
PO BOX 10, MONTPELIER, VT 05601-0010
(802) 223-2266
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
42-0008231
VT
2084P0800X
Psychiatry Physician
Primary
42-0008231
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009881
—
VT
01
—
42-0008231
MEDICAL LICENSE
VT
Enumeration date
07/01/2006
Last updated
07/01/2010
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