Individual
DENNIS WEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3918 CHICAGO ST, NAMPA, ID 83686-8909
(208) 467-5155
Mailing address
3918 CHICAGO ST, NAMPA, ID 83686-8909
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M4643
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004008900
—
ID
05
—
1115888
—
ID
Enumeration date
08/20/2007
Last updated
08/20/2007
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