| Doctor Name: | DR. WESLEY KENNETH CANFIELD |
| NPI Number: | 1629222740 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 164799 |
| Business Practice Address: | 236 Bob Masia Dr Pine City, NY - 148719702 |
| Business Phone Number: | 6077370850 |
| Business Fax Number: | 6077370865 |
| Mailing Address: | 236 Bob Masia Dr, PINE CITY |
| State: | NY |
| Postal Code: | 148719702 |
| Phone Number: | 6077370850 |
| Fax Number: | 6077370865 |
| NPI Enumeration Date: | 11/17/2008 |
| NPI Last Update Date: | 05/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 164799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |