Individual
ROBERT CRAIG DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4123 DUTCHMANS LN, SUITE 607, LOUISVILLE, KY 40207
(502) 899-6470
(502) 899-6479
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64273139
—
KY
Enumeration date
04/06/2006
Last updated
01/12/2021
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