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General NPI Number Information
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NPI Number | 1679887657
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Entity Type | Individual
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Provider Name | MICHAEL D WEINDEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVENUE LL2 ROOM 134
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City | CLEVELAND
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State | OH
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Zip | 44194-3100
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Country | US
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Telephone | 216-444-9484
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Fax |
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Provider Business Mailing Address
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Address Line | 26900 GEORGE ZEIGER DR APT 503
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City | BEACHWOOD
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State | OH
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Zip | 44122-7613
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Country | US
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Telephone | 541-285-3557
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | 4301099624
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 4301099624
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | 35.132414
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License Number State | OH
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