Individual
DR. RICHARD A. WEDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 MCINTIRE DR, SUITE 310, BLOOMINGTON, IN 47403-4221
(812) 331-0233
(812) 331-0287
Mailing address
2920 MCINTIRE DR, SUITE 310, BLOOMINGTON, IN 47403-4221
(812) 331-0233
(812) 331-0287
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01031299
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184520
—
IN
Enumeration date
12/16/2005
Last updated
04/29/2008
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