Individual
ERICH J WEIDENBENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
541 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(317) 455-1064
(317) 455-1204
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
01036915A
IN
Other
Enumeration date
01/17/2007
Last updated
01/16/2025
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