Individual
MARK G. WEINGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 6777 WEST MAPLE ROAD, WEST BLOOMFIELD, MI 48323
(248) 661-6450
(248) 661-6649
Mailing address
HENRY FORD HEALTH SYSTEM, 6777 WEST MAPLE ROAD, WEST BLOOMFIELD, MI 48323
(248) 661-6450
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301039633
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW039633
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
07/08/2007
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