# SAUL WEINGARDEN MD PLLC

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

## Provider details

- **NPI number:** 1588847065
- **Authorized official:** DR. SAUL WEINGARDEN MD (PRESIDENT)
- **Authorized official phone:** (248) 353-3388

## Contact information

- **Practice address:** 20307 W 12 MILE RD, SUITE 104, SOUTHFIELD, MI 48076-5407
- **Practice address phone:** (248) 353-3388
- **Practice address fax:** (248) 353-0492
- **Mailing address:** 20307 W 12 MILE RD, SUITE 104, SOUTHFIELD, MI 48076-5407
- **Mailing address phone:** (248) 353-3388
- **Mailing address fax:** (248) 353-0492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301037116 | MI | Yes |

## Other

- **Enumeration date:** 12/07/2007
- **Last updated:** 08/05/2019
