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NPI Code Detail

MEDICARE: ROBERT MACHEL WEINACKER III MD

MEDICARE:   ROBERT MACHEL WEINACKER III MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician11064AL
2174400000XSpecialist11064AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1102I925403OTHERALMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
251153175OTHERALBCBSAL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477556082
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MACHEL WEINACKER III MD
Provider Business Mailing Address
First Line : 3719 DAUPHIN ST
Second Line : SUITE 100
City : MOBILE
State : AL
Zip : 36608-1753
Country : US
Telephone Number : 251-414-5665
Fax Number : 251-414-5646
Provider Business Practice Location Address
First Line : 3719 DAUPHIN ST
Second Line : SUITE 100
City : MOBILE
State : AL
Zip : 36608-1753
Country : US
Telephone Number : 251-414-5665
Fax Number : 251-414-5646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 06/19/2017

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Directions to “ ROBERT MACHEL WEINACKER III MD” Practice Location

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