Weischedel, Garry Richard

Weischedel, Garry Richard is an sole proprietor health care provider with primary practice located at 1775 Williston Road , South Burlington VT 05403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weischedel, Garry Richard can be contacted via phone (802) 847-8500.

Contact Information

Primary practice address
1775 Williston Road South Burlington VT 05403
Fax: (802) 847-6140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420009937 Vermont
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44142 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44498 Minnesota

Profile Details

NPI number 1699706317
LBN Legal business name Weischedel, Garry Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1699706317 NPPES
Wisconsin MEDICAID 34170200
Wisconsin MEDICAID OVN2084

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