Individual
LEONARD B WEINSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11525 OLDE CABIN RD, CREVE COEUR, MO 63141-7146
(314) 997-0554
(314) 997-5086
Mailing address
11525 OLDE CABIN RD, SPECIALISTS IN GASTROENTEROLOGY, CREVE COEUR, MO 63141-7146
(314) 997-0554
(314) 997-5086
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R4F99
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002012657
MEDICARE LEGACY
MO
01
—
100008439
RAILROAD MEDICARE
—
01
—
107243
BLUE CROSS/BLUE SHIELD
—
01
—
13526
HEALTHLINK
—
05
—
202409504
—
MO
01
—
4040860
AETNA
—
01
—
42990
GHP
—
01
—
746435
UHC
—
Enumeration date
08/17/2006
Last updated
03/06/2014
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