Organization
SAUL WEINGARDEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAUL WEINGARDEN MD (PRESIDENT)
(248) 353-3388
Entity
Organization
Contact information
Practice address
20307 W 12 MILE RD, SUITE 104, SOUTHFIELD, MI 48076-5407
(248) 353-3388
(248) 353-0492
Mailing address
20307 W 12 MILE RD, SUITE 104, SOUTHFIELD, MI 48076-5407
(248) 353-3388
(248) 353-0492
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301037116
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1552582
—
MI
01
—
250635310
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/07/2007
Last updated
08/05/2019
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