Individual
FREDERICK LEO WEILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PLAZA DR, ATT: NUCLEAR MEDICINE, ROSEVILLE, CA 95661-3037
(916) 781-1291
(916) 503-7684
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
G39050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G390500
—
CA
01
—
360002676
RAILROAD MEDICARE
CA
Enumeration date
06/05/2006
Last updated
07/09/2015
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