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Individual

DENNIS M WEPPNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3698
(716) 568-3753
Mailing address
239 MEADOWVIEW LN, WILLIAMSVILLE, NY 14221-3556
(716) 868-0794

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
180672
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010187902
UNIVERA
NY
01
000511237006
BLUE CROSS
NY
05
01284179
NY
01
0298260
GHI PPO
NY
01
0700033
IHA
NY
Enumeration date
04/05/2006
Last updated
08/04/2023
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