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Organization

DAVID S. WEINGARDEN, M.D. & ASSOCIATES, P.C.

Active
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Organization

DAVID S. WEINGARDEN, M.D. & ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID S WEINGARDEN M.D. (PRESIDENT)
(586) 228-2882
Entity
Organization

Contact information

Practice address
43555 DALCOMA DR, SUITE 4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152
Mailing address
43555 DALCOMA DR, SUITE 4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2081P0010X
Pediatric Rehabilitation Medicine Physician
2084N0400X
Neurology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
250E01065
BCBS COMMON PROVIDER CODE
MI
Enumeration date
02/28/2006
Last updated
11/17/2009
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