Mandernach, Molly Helen Weidner

Mandernach, Molly Helen Weidner is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Road , Gainesville FL 32610. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Mandernach, Molly Helen Weidner can be contacted via phone (352) 273-7832.

Contact Information

Primary practice address
1600 Sw Archer Road Gainesville FL 32610
Phone: (352) 273-7832
Fax: (352) 273-7849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME97424 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME97424 Florida

Profile Details

NPI number 1912088063
LBN Legal business name Mandernach, Molly Helen Weidner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Sep 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912088063 NPPES
Florida MEDICAID 005939200

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