Individual
ROGER H WEENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7205 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 571-4000
(763) 571-4000
Mailing address
7205 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 571-4000
(763) 571-4000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
42111
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
724483500
—
MN
Enumeration date
01/12/2006
Last updated
05/18/2011
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