Individual
MIRIAM LYNN WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 LAUREL AVE STE 404, KNOXVILLE, TN 37916-1879
(865) 331-1266
(865) 331-1274
Mailing address
2001 LAUREL AVE, STE 404, KNOXVILLE, TN 37916-1879
(865) 331-1266
(865) 331-1274
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD0000025597
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3084667
—
TN
Enumeration date
10/04/2006
Last updated
05/22/2023
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