Individual
ROBERT ELIOT WEESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 PIEDMONT AVE, STE 6000, CINCINNATI, OH 45219-4231
(513) 475-7505
(513) 475-7355
Mailing address
2830 VICTORY PKWY, STE 310, CINCINNATI, OH 45206-3700
(513) 245-3444
(513) 245-3449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-037250
OH
207RG0100X
Gastroenterology Physician
Primary
35-037250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515688
—
OH
01
—
100016547
RAIL ROAD MEDICARE
OH
05
—
200218170
—
IN
05
—
64864853
—
KY
Enumeration date
05/04/2006
Last updated
12/26/2007
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