Doctor Name: | TERRI E WEILAND |
NPI Number: | 1336158013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 50001158 |
Business Practice Address: | 1261 Wooster Rd Suite 230 Millersburg, OH - 446541568 |
Business Phone Number: | 3306743434 |
Business Fax Number: | 3306743731 |
Mailing Address: | 1261 Wooster Rd, Suite 230 MILLERSBURG |
State: | OH |
Postal Code: | 446541568 |
Phone Number: | 3306743434 |
Fax Number: | 3306743731 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 50001158 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |