Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | D0057645 | MD |
NPI | 1023060027 |
---|---|
Provider Name | Dr. Thais Dorrynne Weibel |
First Address | Bethseda, MD 20814 |
Second Address | Columbia, MD 21044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 08/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0500911 | (05) | MD |
H65881 | (02) |