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Individual
DR. JAMIE DREW WEINAND
Active
Individual
DR. JAMIE DREW WEINAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59481
AZ
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD2019-0662
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284696
MEDICAL LICENSE
MA
01
—
59481
MEDICAL LICENSE
AZ
01
—
CS00227635
NEW MEXICO CONTROLLED SUBSTANCE LICENSE
NM
01
—
MD2019-0662
NEW MEXICO MEDICAL LICENSE
NM
Enumeration date
06/14/2017
Last updated
01/23/2025
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