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Individual

DR. JOHN CHARLES WEINLEIN IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1211 UNION AVE, #500, MEMPHIS, TN 38104
(901) 759-3100
(901) 759-3196
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-3196

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19484
MS
207X00000X
Orthopaedic Surgery Physician
46130
TN
207XX0801X
Orthopaedic Trauma Physician
Primary
46130
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001030773
MS
05
04021063
MS
05
1522430
TN
05
185012001
AR
Enumeration date
07/22/2007
Last updated
10/06/2022
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