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Individual

STEPHANIE MARIE WECKESSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
970 W WOOSTER ST, SUITE 130, BOWLING GREEN, OH 43402-2643
(419) 352-6890
(419) 353-2415
Mailing address
745 HASKINS RD, SUITE B, BOWLING GREEN, OH 43402-1600
(419) 353-7069
(419) 353-7076

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35097856
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0061307
OH
Enumeration date
07/23/2008
Last updated
05/10/2016
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