Individual
DR. KIRSTEN TEANEY WEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 310, FORT WAYNE, IN 46845
(260) 266-5230
(260) 266-5238
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01081385A
IN
207RG0100X
Gastroenterology Physician
13660
SD
207RG0100X
Gastroenterology Physician
14241
NH
207RG0100X
Gastroenterology Physician
2008-01383
NC
207RG0100X
Gastroenterology Physician
294978
NY
207RG0100X
Gastroenterology Physician
42-0010557
VT
207RG0100X
Gastroenterology Physician
99004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911911
—
NC
Enumeration date
10/03/2006
Last updated
05/17/2024
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