Provider Demographics
NPI:1851304331
Name:WEILAND, ALLAN JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:JAY
Last Name:WEILAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14406 NE 20TH AVE
Mailing Address - Street 2:KAISER PERMANENTE SALMON CREEK MEDICAL OFFICE
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-1448
Mailing Address - Country:US
Mailing Address - Phone:360-571-4741
Mailing Address - Fax:360-571-4246
Practice Address - Street 1:14406 NE 20TH AVE
Practice Address - Street 2:KAISER PERMANENTE SALMON CREEK MEDICAL OFFICE
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-1448
Practice Address - Country:US
Practice Address - Phone:360-571-4741
Practice Address - Fax:360-571-4246
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD10482207V00000X
WAMD00016970207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology