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NPI Code Detail

MEDICARE: DAVID SOLOMON WEINGARDEN M.D.

MEDICARE: DAVID SOLOMON WEINGARDEN M.D.
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
1208100000XPhysical Medicine & Rehabilitation Physician4301049666MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
70E0611402OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1103824OTHERMICARE CHOICES-PREFERRED
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3DW049666OTHERMIBCBSM
4143014049666OTHERMISTATE LICENSE NUMBER
5C6827OTHERMIM-CARE
62505001891OTHERMIBCN

General Provider Information

NPI Number : 1851394654
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SOLOMON WEINGARDEN M.D.
Provider Business Mailing Address
First Line : 43555 DALCOMA DR
Second Line : STE 4
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-6310
Country : US
Telephone Number : 586-228-2882
Fax Number : 586-463-7152
Provider Business Practice Location Address
First Line : 43555 DALCOMA DR
Second Line : STE 4
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-6310
Country : US
Telephone Number : 586-228-2882
Fax Number : 586-463-7152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/15/2014

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48038-6310
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Practice Fax: 586-463-7152

Directions to “ DAVID SOLOMON WEINGARDEN M.D.” Practice Location

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