Individual
CRAIG D WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 J ST, SACRAMENTO, CA 95819-3626
(916) 989-9044
(916) 988-5288
Mailing address
PO BOX 1202, ORANGEVALE, CA 95662-1202
(916) 989-9044
(916) 988-5288
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
G33172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G331720
—
CA
Enumeration date
10/14/2006
Last updated
06/09/2014
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