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Individual

MARY MARGARET WEILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3983 WILSON CAMBRIA RD, RANSOMVILLE, NY 14131-9613
(716) 751-9216
Mailing address
3983 WILSON CAMBRIA RD, RANSOMVILLE, NY 14131-9613
(716) 751-9216

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
114478
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010186803
UNIVERA
NY
01
005064943
BCBSWNY
NY
01
0402898
INDEPENDENT HEALTH
NY
Enumeration date
11/22/2006
Last updated
11/29/2011
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