Individual
DR. SAMUEL P WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
69089 N MAIN ST, RICHMOND, MI 48062-1146
(586) 727-5865
(586) 727-8429
Mailing address
8547 HENDRIE BLVD, HUNTINGTON WOODS, MI 48070-1617
(586) 491-6482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901007772
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901007772
PERMANENT DENTAL LIC.
MI
05
—
3478902
—
MI
Enumeration date
12/14/2006
Last updated
07/08/2007
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