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Individual

WESLEY D WEIDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
400 N 34TH ST STE 320, SEATTLE, WA 98103-5296
(206) 486-8270
(206) 902-9666
Mailing address
400 N 34TH ST STE 320, SEATTLE, WA 98103-5296
(206) 486-8270
(206) 902-9666

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61039111
WA
363AM0700X
Medical Physician Assistant
50.005416RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0328080
OH
Enumeration date
01/12/2018
Last updated
07/08/2026
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