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Individual

DR. DANIEL MATTHEW WEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
99 CENTRAL AVE, ASHLAND, OR 97520-1787
(541) 482-9741
(541) 488-6141
Mailing address
99 CENTRAL AVE, ASHLAND, OR 97520-1787
(541) 482-9741
(541) 488-6141

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A7931
CA
207Q00000X
Family Medicine Physician
Primary
DO173090
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX79310
CA
Enumeration date
08/09/2006
Last updated
09/28/2020
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