MEDICARE: DANIEL WEINSTEIN

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1275819757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL WEINSTEIN

Provider Business Mailing Address
First Line	:	3801 UNIVERSITY LAKE DR STE 205
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4658
Country	:	US
Telephone Number	:	907-729-2492
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 UNIVERSITY LAKE DR STE 205
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4658
Country	:	US
Telephone Number	:	907-729-2492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2011
Last Update Date	:	02/09/2023

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