DR. Edmund R Weise, M.D.

NPI #1851349039 in Jacksonville Beach, Florida

Provider Information

NPI Number: 1851349039
Entity Type: Individual
Name: DR. Edmund R Weise, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: May 4, 2006
Last Updated: Aug 31, 2011

Practice Location

Address: 274 3RD AVE S
City: Jacksonville Beach
State: Florida
ZIP Code: 32250-6727
Phone: (904) 249-3373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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