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Individual

DR. THOMAS MARTIN WEISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1270 KOTNUM ROAD, WARM SPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-2135
Mailing address
PO BOX 1209, WARM SPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-2135

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AG1377
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273855
OR
Enumeration date
12/28/2007
Last updated
12/28/2007
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