Individual
DR. ROBERT EUGENE WAIDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(918) 687-5251
Mailing address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA04258000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8004200
—
NJ
Enumeration date
06/09/2006
Last updated
03/17/2009
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