Individual
TIMOTHY DAVID WEDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026-0001
(319) 899-8550
Mailing address
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026-0001
(319) 899-8550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
170981
IA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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