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NPI Code Detail

MEDICARE: DR. JOHN LEE WEIPPERT D.O.

MEDICARE: DR. JOHN LEE WEIPPERT D.O.
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
1207R00000XInternal Medicine Physician34.009801OH
2207RG0100XGastroenterology Physician34.009801OH

General Provider Information

NPI Number : 1780903518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN LEE WEIPPERT D.O.
Provider Business Mailing Address
First Line : 1622 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44483-6613
Country : US
Telephone Number : 330-399-7215
Fax Number :
Provider Business Practice Location Address
First Line : 1622 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44483-6613
Country : US
Telephone Number : 330-399-7215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2010
Last Update Date : 06/18/2013

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Directions to “ DR. JOHN LEE WEIPPERT D.O.” Practice Location

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