Organization
DANIEL T. WEIDENTHAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T. WEIDENTHAL M.D. (PRESIDENT)
(216) 464-5266
Entity
Organization
Contact information
Practice address
25700 SCIENCE PARK DRIVE, SUITE #170, BEACHWOOD, OH 44122-7335
(216) 464-5266
(216) 464-5290
Mailing address
25700 SCIENCE PARK DRIVE, SUITE #170, BEACHWOOD, OH 44122-7335
(216) 464-5266
(216) 464-5290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35023014
OH
Other
Enumeration date
09/11/2012
Last updated
07/05/2024
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