Individual
DR. LARRY FELIX WEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9536 HOSPITAL AVENUE, NASSAWADOX, VA 23413
(757) 414-8490
(757) 414-8560
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101050970
VA
208600000X
Surgery Physician
9400669
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841252459
—
VA
05
—
790156Q
—
NC
Enumeration date
04/06/2006
Last updated
11/27/2012
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