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Individual

MARK A WAINSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 550-6770
Mailing address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 550-6770
(530) 550-6792

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
35072311
OH
208800000X
Urology Physician
DR.0069372
CO
208800000X
Urology Physician
Primary
G152876
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2033561
OH
01
301323
MEDICARE
CA
01
340013152
RAILROAD MEDICARE
OH
Enumeration date
06/17/2005
Last updated
01/30/2026
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