Doctor Name: | MARK WEIDENBECHER |
NPI Number: | 1346403490 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 11100 Euclid Ave Lks 4518 Cleveland, OH - 441061716 |
Business Phone Number: | 2168441000 |
Business Fax Number: | |
Mailing Address: | 11100 Euclid Ave, Department Of Otolaryngology - Head & Neck, Lks 4518 CLEVELAND |
State: | OH |
Postal Code: | 441061716 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/09/2008 |
NPI Last Update Date: | 11/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 284300000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Special Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |