Individual
DR. JONATHAN LEE WEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 SE 4TH ST STE 1300, EVANSVILLE, IN 47708-1607
(812) 490-3937
Mailing address
PO BOX 3873, EVANSVILLE, IN 47737-3873
(812) 490-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01070851A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000771428
ANTHEM
IN
Enumeration date
06/25/2008
Last updated
02/19/2024
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