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Individual

RICHARD S. WEINBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1814 WESTCHESTER DR, STE 300, HIGH POINT, NC 27262-7369
(336) 802-2055
(336) 802-2056
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
122
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480031935
RR MEDICARE
NC
05
8908189
NC
Enumeration date
03/31/2006
Last updated
07/02/2009
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