Individual
MICHAEL WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1481 W 10TH ST # 11H, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST # 11H, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01050862A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200236270
—
IN
Enumeration date
05/09/2006
Last updated
04/24/2016
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