Individual
BRENDAN ALLEN WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1000
Mailing address
PO BOX 174, PHILLIPSBURG, OH 45354-0174
(330) 327-4423
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.349594
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
019735
OH
Other
Enumeration date
05/01/2018
Last updated
09/19/2018
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