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Individual

MATHEW BENJAMIN WEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
220 JOHNS CREEK ROAD, MILTON, WV 25541-1513
(304) 743-1407
(304) 743-4516
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5159
(304) 523-8115

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22530
WV
207Q00000X
Family Medicine Physician
35.091875
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2849092
OH
05
3810012382
WV
05
7100228730
KY
Enumeration date
05/10/2007
Last updated
07/16/2024
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