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Individual

CHESTER FRANK WEIMER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
504 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 448-3055
(985) 447-5670
Mailing address
504 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 448-3055
(985) 447-5670

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD013631
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1199249
LA
01
34000565
RAILROAD MEDICARE
LA
Enumeration date
05/23/2006
Last updated
07/08/2007
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