Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colleen Weseloh, MD

Individual provider Family Medicine Physician · NPI 1962820100

Colleen Weseloh, MD is a Family Practice in Buffalo, New York. Qualified in 2014, 12 years ago. Practices with Providence St Joseph Medical Center, a 52-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Montana and New York.

Years since qualifying
12
Licensed in
IL, MT, NY
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1021 Broadway St
Buffalo, NY 14212-1460
Phone: (716) 529-3020
Fax: (716) 529-3040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6201 Roosevelt Rd, Berwyn, IL 60402-1108 — (708) 386-0845
  • 2411 Holmes St, Kansas City, MO 64108-2741 — (816) 235-6627

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MED-PHYS-LIC-82860 (MT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 295871 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036142994 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962820100
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2014
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address6 13th Ave E, Polson, MT 59860-5315

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Providence St Joseph Medical Center — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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