Individual
DR. BRADLEY KENT WEISNER
Active
Individual
DR. BRADLEY KENT WEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9400668
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23482
PARTNERS PROVIDER#
NC
01
—
340016171
RAILROAD MCRE PROV#
NC
01
—
86336
BCBS NC INDI PROV#
NC
Enumeration date
06/14/2006
Last updated
05/15/2008
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