Individual
CLARE D WEIDMAN
Active
Individual
CLARE D WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101031888
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006404979
—
VA
05
—
0099154000
—
WV
01
—
200026
LUNG
—
01
—
258083
ANTHEM
VA
01
—
282196
ANTHEM
WV
01
—
4581381
AETNA
—
01
—
5191259
CCN
—
01
—
541839718
C&O
—
01
—
54183971800
WV WORKERS COMPENSATION
WV
01
—
541839718015
BS MOUNTAIN STATE
VA
01
—
541839718048
BS MOUNTAIN STATE
WV
01
—
58613
CARELINK
—
Enumeration date
06/16/2005
Last updated
10/15/2011
Update your record
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