TIMOTHY L. WEIDE

DERBY, KS
NPI1861600017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  1500761)
Enumeration Date2007-05-20
Last Update Date2008-02-01
Business Address
Mr. TIMOTHY L. WEIDE P.A.
1121 N COLLEGE PARK ST SUITE # 400
DERBY, KS 67037-3665
Phone number: 316-788-3376
Mailing Address
Mr. TIMOTHY L. WEIDE P.A.
22120 SW WILLIAMS RD
DOUGLASS, KS 67039-8539
Phone number:
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