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William Weisshaar

Family Medicine in St Louis Park, MN. Individual provider (NPI-1).

NPI number1528045341
StatusActive
Last updated in NPPESMar 8, 2012

Details

NPI
1528045341
Entity type
Individual (NPI-1)
Name
William Weisshaar
Sex
Male
Sole proprietor
No
Enumeration date
Dec 22, 2005
Last updated
Mar 8, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine32467MNYes

Practice location

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527

Phone 952-993-3512

Mailing address

3800 Park Nicollet Blvd
Credentialing
Minneapolis, MN 55416-2527

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in St Louis Park, MN

All 107 Family Medicine Physician providers in St Louis Park · All 3,529 providers in St Louis Park

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