Individual
DR. GLENN MICHAEL WEINRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
(540) 772-3785
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
(540) 772-3785
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
E4043
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009304860
—
VA
Enumeration date
01/30/2006
Last updated
01/04/2022
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