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Individual

JANE A WEIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-6561
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-6561

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD039541E
PA
207Q00000X
Family Medicine Physician
Primary
MD34444
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016311940006
PA
05
176365
AL
Enumeration date
04/14/2006
Last updated
07/21/2022
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