National Provider Identifier
Willis Fred Weeden Jr., M.D.
Willis Fred Weeden Jr., M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Canandaigua, NY and a listed phone number of (585) 229-2595.
Profile Overview
- NPI
- 1538468947
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 24, 2011
- Last Updated
- March 24, 2011
Practice Location
- 5005 State Route 64
- Canandaigua, NY 14424-9358
Phone: (585) 229-2595
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1538468947
- Entity Type
- Individual
- Last Name
- Weeden
- First Name
- Willis
- Middle Name
- Fred
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- M.D.
- Mailing Street Address
- 5005 State Route 64
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-9358
- Mailing Country
- US
- Mailing Phone
- (585) 229-2595
- Practice Street Address
- 5005 State Route 64
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-9358
- Practice Country
- US
- Practice Phone
- (585) 229-2595
- Enumeration Date
- March 24, 2011
- Last Updated
- March 24, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)