Individual
DEREK RICHARD WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 251-2700
Mailing address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
50356
MN
Other
Enumeration date
11/19/2007
Last updated
03/20/2019
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