Individual
THEODORE PAUL WERBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 STAFFORD DR, PRINCETON, WV 24740-2409
(304) 487-6123
(304) 425-2631
Mailing address
1051 STAFFORD DR, PRINCETON, WV 24740-2409
(304) 487-6123
(304) 425-2631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12870
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096798000
—
WV
05
—
0096798001
—
WV
Enumeration date
06/15/2005
Last updated
12/07/2020
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