Doctor Name: | DR. JAMES MICHAEL MCWEENEY |
NPI Number: | 1891929527 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35051222 |
Business Practice Address: | 520 Mcclure Rd Lebanon, OH - 450369317 |
Business Phone Number: | 5136460025 |
Business Fax Number: | 5139324381 |
Mailing Address: | 520 Mcclure Rd, LEBANON |
State: | OH |
Postal Code: | 450369317 |
Phone Number: | 5136460025 |
Fax Number: | 5139324381 |
NPI Enumeration Date: | 05/09/2009 |
NPI Last Update Date: | 04/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35051222 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |