Individual
ROBERT MACHEL WEINACKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3719 DAUPHIN ST, SUITE 100, MOBILE, AL 36608-1753
(251) 414-5665
(251) 414-5646
Mailing address
3719 DAUPHIN ST, SUITE 100, MOBILE, AL 36608-1753
(251) 414-5665
(251) 414-5646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11064
AL
2085R0001X
Radiation Oncology Physician
11064
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I925403
MEDICARE
AL
05
—
169178
—
AL
01
—
51153175
BCBSAL
AL
Enumeration date
05/27/2005
Last updated
06/19/2017
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