Organization
WEINKLE DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HOLLOWAY WEINKLE MD (PRESIDENT)
(941) 794-5432
Entity
Organization
Contact information
Practice address
5601 21ST AVE W STE B, BRADENTON, FL 34209-5642
(941) 794-5432
(941) 794-5682
Mailing address
5601 21ST AVE W STE B, BRADENTON, FL 34209-5642
(941) 794-5432
(941) 794-5682
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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