Healthcare Provider Details

I. General information

NPI: 1548556376
Provider Name (Legal Business Name): CLAUDIA WEINHEIMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 11/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 W 8TH AVE STE 442
SPOKANE WA
99204-2361
US

IV. Provider business mailing address

35 W 8TH AVE STE 442
SPOKANE WA
99204-2361
US

V. Phone/Fax

Practice location:
  • Phone: 509-307-0064
  • Fax:
Mailing address:
  • Phone: 509-307-0064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number9019510-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBP10040472
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD.MD.60713594
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: