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NPI Code Detail

MEDICARE: MARK A WAINSTEIN MD

MEDICARE:   MARK A WAINSTEIN  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
1208800000XUrology Physician35072311OH
2208800000XUrology PhysicianG152876CA
3208800000XUrology PhysicianDR.0069372CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2301323OTHERCAMEDICARE
3340013152OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225033996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK A WAINSTEIN MD
Provider Business Mailing Address
First Line : 10121 PINE AVE
Second Line :
City : TRUCKEE
State : CA
Zip : 96161-4835
Country : US
Telephone Number : 530-550-6770
Fax Number : 530-550-6792
Provider Business Practice Location Address
First Line : 10121 PINE AVE
Second Line :
City : TRUCKEE
State : CA
Zip : 96161-4835
Country : US
Telephone Number : 530-550-6770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 01/30/2026

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Directions to “ MARK A WAINSTEIN MD” Practice Location

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