Organization
JAN J WEISBERG. MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN J WEISBERG M.D. (PHYSICIAN)
(502) 227-9911
Entity
Organization
Contact information
Practice address
5 PHYSICIANS PARK, SUITE #4, FRANKFORT, KY 40601-4163
(502) 227-9911
(502) 226-6455
Mailing address
5 PHYSICIANS PARK, SUITE #4, FRANKFORT, KY 40601-4163
(502) 227-9911
(502) 226-6455
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
26843
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Y00000X
TAXONOMY CODE
—
05
—
64268436
—
KY
Enumeration date
11/14/2008
Last updated
11/14/2008
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