Individual
MICHAEL M WEINIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3646
(215) 707-6594
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3646
(215) 707-3644
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0S006020L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011833440001
—
PA
Enumeration date
10/11/2005
Last updated
03/16/2018
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