Dr Erich R Weidenbener, MD | |
855 N Westhaven Dr, Oshkosh, WI 54904-7668 | |
(920) 303-8700 | |
Not Available |
Full Name | Dr Erich R Weidenbener |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 855 N Westhaven Dr, Oshkosh, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023637832 | NPI | - | NPPES |
100209472 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 77156 (Wisconsin) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Emergency Medicine Specialists Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568413524 PECOS PAC ID: 8729975461 Enrollment ID: O20040228000032 |
Mailing Address | Practice Location Address |
---|---|
Dr Erich R Weidenbener, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Erich R Weidenbener, MD 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 |
John M Rosebush Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-7400 Fax: 920-456-7421 | |
Kevin L Polglaze, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-490-9046 | |
Hannah Johnshoy, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Trevor C Fenrich, EMT-B Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 621 Evans St, Oshkosh, WI 54901 Phone: 920-233-0888 | |
Jayzon P Martonito, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Daniel Gale, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-7400 Fax: 920-456-7421 |