Individual
MARK A. WEINREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST BOX 356522, SEATTLE, WA 98195-6522
(206) 616-8378
(206) 685-8673
Mailing address
1959 NE PACIFIC ST BOX 356522, SEATTLE, WA 98195-6522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60737701
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD60737701
WA
225100000X
Physical Therapist
PT00010168
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275685596
—
WA
05
—
8492027
—
WA
Enumeration date
01/17/2007
Last updated
01/29/2019
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