Individual
MARTIN H WEINRAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 VILLAGE DR, SUITE 104, FAYETTEVILLE, NC 28304-3864
(910) 483-4687
(910) 483-4968
Mailing address
2850 VILLAGE DR, SUITE 104, FAYETTEVILLE, NC 28304-3864
(910) 483-4687
(910) 483-4968
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9700802
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11579
BLUE SHIELD BLUE CROSS
NC
05
—
891096A
—
NC
Enumeration date
05/15/2006
Last updated
06/06/2016
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