Organization
FRED WEILAND MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK L. WEILAND MD (PRESIDENT)
(916) 781-1291
Entity
Organization
Contact information
Practice address
1 MEDICAL PLAZA DR, ATT NUCLEAR MEDICINE, ROSEVILLE, CA 95661-3037
(916) 781-1291
(916) 663-9912
Mailing address
PO BOX 897, ROSEVILLE, CA 95678-0897
(916) 781-1291
(916) 663-9912
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
G39050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G390500
—
CA
Enumeration date
10/26/2007
Last updated
03/12/2008
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