Individual
DR. DENNIS D WEISENBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
(626) 301-8842
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
16584
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G38421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557547
—
NE
Enumeration date
05/16/2006
Last updated
11/18/2020
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