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NPI Code Detail

MEDICARE: THOMAS WEISSMUELLER MD

MEDICARE: THOMAS WEISSMUELLER 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
1207LP3000XPediatric Anesthesiology Physician241103MA

General Provider Information

NPI Number : 1023245768
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS WEISSMUELLER MD
Provider Business Mailing Address
First Line : 2414 FORAKER DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99517-1176
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3300 PROVIDENCE DR STE 205
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-4620
Country : US
Telephone Number : 907-561-1510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2009
Last Update Date : 09/30/2022

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