Individual
DR. BRANDEN LLOYD WEISGARBER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD, CRNP
Contact information
Practice address
1261 WOOSTER RD, STE 140, MILLERSBURG, OH 44654-1569
(330) 674-9675
Mailing address
1213 RUSSELL DR NW, BOLIVAR, OH 44612-8418
(330) 878-5627
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP04723
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2306883
—
OH
Enumeration date
05/24/2005
Last updated
07/08/2007
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