Individual
LISA MARIE WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 W 2ND ST, BLOOMINGTON, IN 47403-2217
(812) 334-3955
(812) 334-5792
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-3087
(812) 353-5859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01046344A
IN
207V00000X
Obstetrics & Gynecology Physician
01046344A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200128570
—
IN
Enumeration date
12/09/2005
Last updated
10/24/2025
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