Provider Demographics
NPI:1912262262
Name:WEILER, EDWIN FREDRICK JR (MD)
Entity type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:FREDRICK
Last Name:WEILER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2756
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57101-2756
Mailing Address - Country:US
Mailing Address - Phone:605-338-7098
Mailing Address - Fax:605-335-3505
Practice Address - Street 1:601 S CLIFF AVE STE A
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-5275
Practice Address - Country:US
Practice Address - Phone:605-622-5000
Practice Address - Fax:605-622-5127
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2019-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE6904207L00000X
SD9922207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology