Individual
GEORGE VANWEELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
864 MAIN ST, WINTERSVILLE, OH 43953-3870
(740) 266-3855
(740) 266-3860
Mailing address
380 SUMMIT AVE, MSO PHYSICIAN BILLING, STEUBENVILLE, OH 43952-2667
(740) 283-7776
(740) 283-7190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.006287
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047564000
—
WV
05
—
2016553
—
OH
01
—
P00060764
RR MEDICARE
OH
Enumeration date
07/01/2005
Last updated
05/13/2020
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