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Individual

DR. SANDRA MARIE WEAKLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
54 BAKER AVENUE EXTENSION, SUITE 103, CONCORD, MA 01742-2189
(978) 369-5282
(978) 369-2926
Mailing address
54 BAKER AVENUE EXTENSION, SUITE 103, CONCORD, MA 01742-2189
(978) 369-5282
(978) 369-2926

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MA1982
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0358177
MA
Enumeration date
10/17/2005
Last updated
03/03/2011
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