Provider Demographics
NPI:1356522809
Name:WEISLER, RICHARD H (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:H
Last Name:WEISLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:700 SPRING FOREST RD
Mailing Address - Street 2:STE 125
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-9124
Mailing Address - Country:US
Mailing Address - Phone:919-872-5900
Mailing Address - Fax:919-878-0942
Practice Address - Street 1:700 SPRING FOREST RD
Practice Address - Street 2:STE 125
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-9124
Practice Address - Country:US
Practice Address - Phone:919-872-5900
Practice Address - Fax:919-878-0942
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC213812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC202376CMedicare PIN