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NPI Code Detail

MEDICARE: DR. DAVID LEE WELDY MD,PHD

MEDICARE:  DR. DAVID LEE WELDY  MD,PHD
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
1207QS0010XSports Medicine (Family Medicine) Physician35-05-2329-WOH
2207Q00000XFamily Medicine Physician35-05-2329-WOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12036881001OTHEROHCIGNA
2341502699OTHEROHTRICARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
471505OTHEROHQUALCHOICE
5000000134223OTHEROHANTHEM
601594OTHEROHFAA MEDICAL EXAMINER ID#

General Provider Information

NPI Number : 1437152014
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID LEE WELDY MD,PHD
Provider Business Mailing Address
First Line : 3355 GLENDALE AVE FL 3
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2426
Country : US
Telephone Number : 419-388-5555
Fax Number : 419-383-3113
Provider Business Practice Location Address
First Line : 3333 GLENDALE AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2426
Country : US
Telephone Number : 419-383-5555
Fax Number : 419-383-3113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 02/05/2018

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Directions to “ DR. DAVID LEE WELDY MD,PHD” Practice Location

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