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NPI Code Detail

MEDICARE: DR. HEIDI M. WEHRHEIM M.D.

MEDICARE: DR. HEIDI M. WEHRHEIM M.D.
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
1207Q00000XFamily Medicine Physician21151WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17930591OTHERWVAETNA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3001720367OTHERWVMS BCBS

General Provider Information

NPI Number : 1154390037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEIDI M. WEHRHEIM M.D.
Provider Business Mailing Address
First Line : 1340 HAL GREER BLVD
Second Line : ATTN: TAMMIE SILVA
City : HUNTINGTON
State : WV
Zip : 25701-3800
Country : US
Telephone Number : 304-399-6727
Fax Number : 304-399-6726
Provider Business Practice Location Address
First Line : 1340 HAL GREER BLVD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3800
Country : US
Telephone Number : 304-399-6727
Fax Number : 304-399-6726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 05/15/2013

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