Provider Demographics
NPI:1912946955
Name:DRESSLER, WILLIAM CONRAD (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CONRAD
Last Name:DRESSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GREAT TEAYS BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9552
Mailing Address - Country:US
Mailing Address - Phone:304-757-6999
Mailing Address - Fax:
Practice Address - Street 1:33674 OLD VALLEY PIKE
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-3704
Practice Address - Country:US
Practice Address - Phone:540-465-3751
Practice Address - Fax:540-465-5008
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11048207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0056177000Medicaid
WV0034493000Medicaid
WV0056177000Medicaid
WV2032182Medicare PIN
WVDR0432927Medicare ID - Type Unspecified
WVA71957Medicare UPIN
WV0034493000Medicaid
WV2032183Medicare PIN