Provider Demographics
NPI:1619948122
Name:WEEDN, VICTOR WALTER (MD, JD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:WALTER
Last Name:WEEDN
Suffix:
Gender:M
Credentials:MD, JD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 38608
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-8608
Mailing Address - Country:US
Mailing Address - Phone:412-600-4211
Mailing Address - Fax:
Practice Address - Street 1:171ST ARW
Practice Address - Street 2:300 TANKER ROAD, PITTSBURGH IAP
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108
Practice Address - Country:US
Practice Address - Phone:412-474-7473
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428174207ZP0102X
AL00022176207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology