Individual
DONALD J. WEIDLER
Active
Individual
DONALD J. WEIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38570
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356155
ANTHEM PIN
KY
05
—
64078371
—
KY
01
—
810529995
TRICARE
—
Enumeration date
07/26/2006
Last updated
11/03/2020
Update your record
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