Individual
IAN M WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 QUARRY LAKE DR, SUITE 300, BALTIMORE, MD 21209-2230
(410) 377-8900
(410) 377-3156
Mailing address
2700 QUARRY LAKE DR, SUITE 300, BALTIMORE, MD 21209-2230
(410) 377-8900
(410) 377-3156
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
D42882
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342461800
—
MD
Enumeration date
10/13/2005
Last updated
06/17/2020
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