Individual
ELIZABETH WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7276
(317) 656-4216
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
010592248A
IN
207P00000X
Emergency Medicine Physician
Primary
01059248A
IN
208000000X
Pediatrics Physician
01059248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200864560
—
IN
Enumeration date
06/06/2007
Last updated
03/15/2025
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