Individual
MARTIN KRESS WEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
91 COLUMBUS ST, AUBURN, NY 13021
(315) 255-3944
Mailing address
91 COLUMBUS ST, AUBURN, NY 13021
(315) 255-3944
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
170457
NY
207Q00000X
Family Medicine Physician
Primary
170457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01023683
—
NY
Enumeration date
08/31/2006
Last updated
03/25/2011
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