Individual
DR. TIMOTHY WEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 W. THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTER, GLENDALE, AZ 85306
(602) 865-2627
(602) 865-2632
Mailing address
5555 W. THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTER, GLENDALE, AZ 85306
(602) 865-2627
(602) 865-2632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34240
AZ
208M00000X
Hospitalist Physician
Primary
34240
AZ
Other
Enumeration date
06/14/2006
Last updated
10/21/2015
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