Organization
DENNIS WEPPNER MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS M WEPPNER MD (OWNER)
(716) 634-1702
Entity
Organization
Contact information
Practice address
6044 MAIN ST, WILLIAMSVILLE, NY 14221-6883
(716) 634-1702
(716) 692-4342
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010187902
UNIVERA
NY
01
—
000511237006
BLUE CROSS
NY
05
—
01284179
—
NY
01
—
0298260
GHI
NY
01
—
0700033
IHA
NY
01
—
160058176
RAILROAD MEDICARE
—
Enumeration date
07/03/2006
Last updated
03/16/2010
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