National Provider Identifier

Colleen Weseloh, M.D.

Colleen Weseloh, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 529-3020.

NPI 1962820100Buffalo, NYFamily Medicine Physician

Profile Overview

NPI
1962820100
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
April 04, 2014
Last Updated
April 29, 2021

Practice Location

  • 1021 Broadway St
  • Buffalo, NY 14212-1460

Phone: (716) 529-3020

Mailing Address

  • 6 13Th Ave E
  • Polson, MT 59860-5315

Specialties

  • Family Medicine Physician (207Q00000X)
  • Family Medicine Physician (207Q00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

Endpoints

  • cweseloh1206681@wm.providencedirect.org

    Direct Messaging Address | Polson, MT 59860

Full Record
NPI
1962820100
Entity Type
Individual
Last Name
Weseloh
First Name
Colleen
Credential
M.D.
Provider Other Last Name
Quinn
Provider Other First Name
Colleen
Provider Other Credential Text
M.D.
Provider Other Last Name Type Code
1
Mailing Street Address
6 13Th Ave E
Mailing City
Polson
Mailing State
MT
Mailing ZIP Code
59860-5315
Mailing Country
US
Mailing Phone
(406) 883-5680
Practice Street Address
1021 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1460
Practice Country
US
Practice Phone
(716) 529-3020
Practice Fax
(716) 529-3040
Enumeration Date
April 04, 2014
Last Updated
April 29, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 29, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)