Provider Demographics
NPI:1558400408
Name:WELTNER, DANIEL EUGENE SR (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EUGENE
Last Name:WELTNER
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2510 KEMPERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-8665
Mailing Address - Country:US
Mailing Address - Phone:614-939-0213
Mailing Address - Fax:614-939-0213
Practice Address - Street 1:2510 KEMPERWOOD DR
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-8665
Practice Address - Country:US
Practice Address - Phone:614-939-0213
Practice Address - Fax:614-939-0213
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH24368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine