Individual
ROBERT WEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3288 E PINE AVE, MERIDIAN, ID 83642-5922
(208) 888-8887
(208) 658-0153
Mailing address
PO BOX 6412, BOISE, ID 83707-6412
(208) 888-8887
(208) 658-0153
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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