Provider Demographics
NPI:1477519692
Name:WEI, JULIE L (MD MMM)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:WEI
Suffix:
Gender:F
Credentials:MD MMM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CINCINNATI'S CHILDREN'S
Mailing Address - Street 2:3333 BURNETT AVE ML2018
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-636-6712
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:AKRON CHILDREN'S HOSPITAL
Practice Address - Street 2:215 WEST BOWERY ST
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308
Practice Address - Country:US
Practice Address - Phone:330-543-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115919207YP0228X
OH35.148752207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008863000Medicaid
KS100449910BMedicaid
MO208796409Medicaid
FL008863000Medicaid
MO269C241Medicare ID - Type Unspecified