Healthcare Provider Details

I. General information

NPI: 1003817099
Provider Name (Legal Business Name): JOSEPH ALOYSIUS WEINGATES III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 CHAPEL DR SUITE C
FINDLAY OH
45840-1335
US

IV. Provider business mailing address

461 WESTCHESTER DR
FINDLAY OH
45840-7179
US

V. Phone/Fax

Practice location:
  • Phone: 419-424-1055
  • Fax: 419-424-9448
Mailing address:
  • Phone: 419-424-1245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35031067W
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: