Provider Demographics
NPI:1649476888
Name:SAHER, WESLEY GUNTHER (DO)
Entity type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:GUNTHER
Last Name:SAHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:104 WYNNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1354
Mailing Address - Country:US
Mailing Address - Phone:757-562-2622
Mailing Address - Fax:
Practice Address - Street 1:1376 ARMORY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851
Practice Address - Country:US
Practice Address - Phone:757-562-4111
Practice Address - Fax:757-562-0002
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116018417207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1649476888OtherANTHEM BCBS
VA1649476888Medicaid
VA1649476888Medicaid