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Waldbillig, David Kelly

CPSO#: 63642

MEMBER STATUS

Active Member as of 15 Jun 1991

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 03 Sep 1992

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: McMaster University, 1991

Practice Information

Primary Location of Practice

St. Mary's General Hospital
911 Queen's Boulevard
Kitchener ON N2M 1B2
Phone: (519) 749-6410
Fax: (519) 749-6411 Electoral District: 03

Additional Practice Location(s)

Grand River Hospital
835 King Street West
Kitchener ON N2G 1G3
Canada
Phone: (519) 749-4242
County: Regional Municipality of Waterloo
Electoral District: 03

Benton Medical Clinic
51 Benton Street
Kitchener ON N2G 3H1
Canada
Phone: (226)240-3014
County: Regional Municipality of Waterloo
Electoral District: 03

153 Union St E
Waterloo ON N2J 1C4
Canada
Phone: 519-603-0989
County: Regional Municipality of Waterloo
Electoral District: 03

Professional Corporation Information

Corporation Name: Dr. David Waldbillig Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Sep 05 2007

Shareholders:
Dr. D. Waldbillig ( CPSO# 63642 )

Business Address:
St. Mary's General Hospital
911 Queen's Boulevard
Kitchener ON  N2M 1B2
Phone Number: (519) 749-6410

Business Address:
Benton Medical Clinic
51 Benton Street
Kitchener ON  N2G 3H1
Phone Number: (226) 240-3014

Business Address:
Grand River Hospital
835 King Street West
Waterloo ON  N2G 1G3
Phone Number: (519) 749-4242

Business Address:
435 King St N
Waterloo ON  N2J 2Z5
Phone Number: 519-603-0656

Business Address:
153 Union St E
Waterloo ON  N2J 1C4

Hospital Privileges

Hospital	Location
Grand River Hospital Corporation	Kitchener
St Mary's General Hospital	Kitchener

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:08 Dec 1993	CFPC Specialist
Family Medicine (Emergency Medicine)	Effective:05 Dec 1994	CFPC Specialist

Terms and Conditions

(1) Dr. DAVID KELLY WALDBILLIG may practise only in the areas of medicine in which Dr. WALDBILLIG is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.

University of Ottawa, 01 Jul 1993 to 30 Jun 1994
Resident 3 - Emergency Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 15 Jun 1991
Transfer of class of registration to: Independent Practice Certificate	Effective: 03 Sep 1992