Organization
WENINGER MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L WENINGER M.D. (OWNER)
(219) 324-2229
Entity
Organization
Contact information
Practice address
8865 W 400 N, MICHIGAN CITY, IN 46360-9222
(219) 871-0833
Mailing address
800 LINCOLNWAY STE 301, LA PORTE, IN 46350-3439
(219) 324-2229
(219) 324-2229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01020206
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000360
—
IN
01
—
DO1275
RAILROAD PTAN
IN
Enumeration date
06/16/2008
Last updated
10/22/2009
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