Organization
HERBERT WEISENTHAL, D.O., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT WEISENTHAL D.O. (PRESIDENT)
(248) 352-3790
Entity
Organization
Contact information
Practice address
29829 TELEGRAPH RD, SUITE L-102, SOUTHFIELD, MI 48034-1330
(248) 352-3790
(248) 352-9712
Mailing address
29829 TELEGRAPH RD, SUITE L-102, SOUTHFIELD, MI 48034-1330
(248) 352-3790
(248) 352-9712
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101005690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102541
—
MI
Enumeration date
05/14/2007
Last updated
11/15/2007
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