Individual
LEONARD B WEINSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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