Individual
DR. JOHN ROBERT WEIFFENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WYOMING ST STE 3115, DAYTON, OH 45409-2722
(937) 208-4250
(937) 208-2911
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3186
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.124972
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120330
—
OH
Enumeration date
07/30/2012
Last updated
07/09/2018
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