Provider Demographics
NPI:1316919723
Name:WEKSLER, JUAN E (MD)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:E
Last Name:WEKSLER
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 1:272 BENEDICT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2374
Mailing Address - Country:US
Mailing Address - Phone:419-660-4707
Mailing Address - Fax:419-660-6964
Practice Address - Street 1:272 BENEDICT AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857
Practice Address - Country:US
Practice Address - Phone:419-660-4707
Practice Address - Fax:419-660-6964
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCDRH.0050783207RI0011X
ORMD216335207RI0011X
KY50511207RI0011X
IN01051429A207RI0011X
KS0439866207RI0011X
OH35.120184207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200300470AMedicaid
OH0323622Medicaid
117700XXMedicare Oscar/Certification
IN117700XXMedicare PIN
H25036Medicare UPIN
INH25036Medicare UPIN