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Individual

GERALD WEIZENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
754650
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FHC 70042F
SANTA CRUZ COUNTY MEDI-CAL GROUP PTAN#
CA
01
ZZZ91891Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
12/15/2015
Last updated
12/15/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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