Healthcare Provider Details

I. General information

NPI: 1992875132
Provider Name (Legal Business Name): CHRISTOPHER WEINMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 03/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 COUNTRY CLUB RD VILLAGE WEST, BUILDING 7
GILFORD NH
03249-6972
US

IV. Provider business mailing address

PO BOX 1778
LEWISTON ME
04241-1778
US

V. Phone/Fax

Practice location:
  • Phone: 603-528-1547
  • Fax: 603-524-5536
Mailing address:
  • Phone: 207-375-3024
  • Fax: 207-375-3026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number10575
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: