Richard L Weitzel Jr MD LLC
Clinic/Center, Medical Specialty in Warren, OH. Organization (NPI-2).
NPI number1982307203
StatusActive
Last updated in NPPESMar 24, 2023
Details
- NPI
- 1982307203
- Entity type
- Organization (NPI-2)
- Legal business name
- Richard L Weitzel Jr MD LLC
- Organization subpart
- No
- Enumeration date
- Mar 24, 2023
- Certification date
- Mar 24, 2023
- Last updated
- Mar 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
405 Niles Cortland Rd Se Ste 201Warren, OH 44484-2460
Phone 330-372-2121 · Fax 330-372-2120
Mailing address
405 Niles Cortland Rd Se Ste 201Warren, OH 44484-2460
Phone 330-372-2121 · Fax 330-372-2120
Authorized official
Richard L Weitzel
Sole Mbr
3307279490
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