Doctor Name: | JASON ANDREW WEILAND |
NPI Number: | 1942207253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 179 |
Business Practice Address: | 24237 474th Ave Dell Rapids, SD - 570226120 |
Business Phone Number: | 6052125941 |
Business Fax Number: | 6054283315 |
Mailing Address: | 24237 474th Ave, DELL RAPIDS |
State: | SD |
Postal Code: | 570226120 |
Phone Number: | 6052125941 |
Fax Number: | 6054283315 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 12/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 179 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |