Individual
JACOB M WEINTRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 S ROSE, 5TH FLOOR, KALAMAZOO, MI 49007
(269) 337-3512
Mailing address
PO BOX 4020, KALAMAZOO, MI 49003
(269) 337-3512
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301037846
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1278312
—
MI
Enumeration date
05/08/2006
Last updated
07/08/2007
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