Individual
JERROLD H WEINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5053 PHEASANT CV, WEST BLOOMFIELD, MI 48323-2082
(248) 884-4071
Mailing address
5053 PHEASANT CV, WEST BLOOMFIELD, MI 48323-2082
(248) 884-4071
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20351071251
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4507698
—
MI
Enumeration date
07/11/2006
Last updated
12/22/2020
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