Individual
DR. DAVID N WEIDENSAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 EAST 23RD, HUTCHINSON, KS 67502
(316) 612-4815
(316) 612-4825
Mailing address
1712 E. 23RD, HUTCHINSON, KS 67502
(620) 960-1259
(620) 662-0538
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
04-16898
KS
207RR0500X
Rheumatology Physician
0416898
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194820B
—
KS
01
—
103629
MEDICARE
KS
Enumeration date
06/16/2005
Last updated
03/11/2013
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