Individual
CHARLES O. WEDDLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2502 25TH ST, COLUMBUS, IN 47201-3728
(812) 372-8883
(812) 372-8964
Mailing address
2502 25TH ST, COLUMBUS, IN 47201-3728
(812) 372-8883
(812) 372-8964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01021260A
IN
Other
Enumeration date
11/30/2006
Last updated
07/09/2007
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