MEDICARE: DR. WILLIAM WEYBRIGHT 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
1	207Q00000X	Family Medicine Physician	01020539A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285606889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM WEYBRIGHT M.D.

Provider Business Mailing Address
First Line	:	226 US HIGHWAY 20
Second Line	:
City	:	MIDDLEBURY
State	:	IN
Zip	:	46540-9713
Country	:	US
Telephone Number	:	574-825-8068
Fax Number	:	574-825-4873

Provider Business Practice Location Address
First Line	:	226 US HIGHWAY 20
Second Line	:
City	:	MIDDLEBURY
State	:	IN
Zip	:	46540-9713
Country	:	US
Telephone Number	:	574-825-8068
Fax Number	:	574-825-4873

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	02/05/2014

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Directions to “ DR. WILLIAM WEYBRIGHT M.D.” Practice Location

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