Provider Demographics
NPI:1902853997
Name:WEWER, WILLIAM ADOLPH (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ADOLPH
Last Name:WEWER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:30 S FRONT ST
Practice Address - Street 2:
Practice Address - City:STEELTON
Practice Address - State:PA
Practice Address - Zip Code:17113-2319
Practice Address - Country:US
Practice Address - Phone:717-939-9831
Practice Address - Fax:717-986-1703
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS004413L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007932780001Medicaid
PA067807Medicare PIN
PA0007932780001Medicaid