Individual
DR. MATTHEW DAVID WEIRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 355-2663
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006732A
IN
207Q00000X
Family Medicine Physician
LL 1073
SC
Other
Enumeration date
07/12/2007
Last updated
06/23/2022
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