COLLEEN WESELOH

BUFFALO, NY
NPI1962820100
Former NameCOLLEEN QUINN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MT  MED-PHYS-LIC-82860)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NY  295871)
207Q00000X Family Medicine
(Licence: IL  036142994)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-04
Last Update Date2021-04-29
Business Address
COLLEEN WESELOH M.D.
1021 BROADWAY ST
BUFFALO, NY 14212-1460
Phone number: 716-529-3020
Mailing Address
COLLEEN WESELOH M.D.
6 13TH AVE E
POLSON, MT 59860-5315
Phone number: 406-883-5680