Henry Martin Weyrauch III MD

NPI 1386601490 - Anesthesiology - 207L00000X

NPI Details
NPI 1386601490
Gender Male
Enumeration Date 05/01/2006
Last Updated 10/18/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
200 MISSION BLVD
JACKSON CA, 95642, US
Phone (209) 223-7500
Fax
Business Location
PO BOX 7096
STOCKTON CA, 95267-0096, US
Phone (209) 956-7725
Fax (209) 956-7733
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number A22584
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According to our database, Mr. Henry Martin Weyrauch III MD NPI is 1386601490, taxonomy code is 207L00000X and license number is A22584, license state is located at California. Henry Martin Weyrauch III MD physically located at 200 Mission Blvd, Jackson CA, 95642. NPI Number Henry Martin Weyrauch III MD has the Individual type.

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1386601490 NPI number is provided on an as is basis without warranty of any kind. 1386601490 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Martin Weyrauch III MD are for informational purposes only.