Individual
JEFFREY WEINBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8075 N SHADELAND AVE, SUITE 120, INDIANAPOLIS, IN 46250-2693
(317) 621-9338
(317) 621-9672
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01068076A
IN
208600000X
Surgery Physician
01068076A
IN
208600000X
Surgery Physician
4301080113
MI
2086S0129X
Vascular Surgery Physician
Primary
01068076A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01198088
RR MEDICARE PTAN
IN
Enumeration date
05/14/2007
Last updated
08/02/2022
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