# JEFFREY L & CHARLES J WEINGARTEN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093903643
- **Authorized official:** KAREN ANN MATTICE (OFFICE MANAGER)
- **Authorized official phone:** (248) 650-4660

## Contact information

- **Practice address:** 1135 W UNIVERSITY DR, SUITE 210, ROCHESTER HILLS, MI 48307-1871
- **Practice address phone:** (248) 650-4660
- **Practice address fax:** (248) 650-4663
- **Mailing address:** 1135 W UNIVERSITY DR, SUITE 210, ROCHESTER HILLS, MI 48307-1871
- **Mailing address phone:** (248) 650-4660
- **Mailing address fax:** (248) 650-4663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | JW402858 | MI | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 02/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102823213 | — | MI |