MEDICARE: DR. TIMOTHY PATRICK WEIRICH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	18993	AL

General Provider Information

NPI Number	:	1013947704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY PATRICK WEIRICH MD

Provider Business Mailing Address
First Line	:	2828 HIGHWAY 31 S STE 114
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35603-1538
Country	:	US
Telephone Number	:	256-686-3360
Fax Number	:	256-686-3380

Provider Business Practice Location Address
First Line	:	2828 HIGHWAY 31 S STE 114
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35603-1538
Country	:	US
Telephone Number	:	256-686-3360
Fax Number	:	256-686-3380

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	02/01/2021

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