Individual
DR. CHRISTOPHER WEIDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG00550
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639654
BCBS ID
PA
01
—
2325746000
KEYSTONE ID
PA
Enumeration date
04/17/2006
Last updated
02/07/2011
Update your record
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