Individual
DR. JOHN HEBNER WEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
985 N. PRINCE FREDERICK BLVD, SUITE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Mailing address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D26358
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110032504
RAILROAD MEDICARE
MD
01
—
2148224
AETNA PCP HMO
MD
05
—
326961200
—
MD
01
—
42249801
CAREFIRST OF MD
MD
01
—
4461101
AETNA NON HMO
MD
01
—
836795
OPTIMUM CH-MDIPA
MD
01
—
C0410007
CAREFIRST OF DC
DC
Enumeration date
12/13/2006
Last updated
07/21/2022
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