Provider Demographics
NPI:1508635566
Name:WERGER, JEFFREY (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:WERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 COPPER CREEK DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MARKHAM
Mailing Address - State:ON
Mailing Address - Zip Code:L6B 0P9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 COPPER CREEK DR
Practice Address - Street 2:SUITE 105
Practice Address - City:MARKHAM
Practice Address - State:ON
Practice Address - Zip Code:L6B 0P9
Practice Address - Country:CA
Practice Address - Phone:905-472-6511
Practice Address - Fax:905-472-5436
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120581207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology