Weitzel, Marc A

Weitzel, Marc A is an individual health care provider with primary practice located at 5224 E I 240 Service Rd Ste 201 , Oklahoma City OK 73135-2607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Weitzel, Marc A can be contacted via phone (405) 608-3800.

Contact Information

Primary practice address
5224 E I 240 Service Rd Ste 201 Oklahoma City OK 73135-2607
Fax: (405) 628-6495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20838 Oklahoma
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 20838 Oklahoma

Profile Details

NPI number 1669469565
LBN Legal business name Weitzel, Marc A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Nov 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669469565 NPPES
Oklahoma MEDICAID 200032810A
Oklahoma Other 060063312
Oklahoma MEDICAID 100190400A

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