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Individual

DR. PATRICIA ANNE WEISNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
1112 6TH AVE STE 100, TACOMA, WA 98405-4048
(253) 792-6630
Mailing address
1112 6TH AVE STE 100, TACOMA, WA 98405-4048

Taxonomy

Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
ML60866323
WA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD.MD.61560365
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659875052
WA
Enumeration date
03/20/2018
Last updated
09/18/2024
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