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Individual

DR. MARK D WEINGARTEN

Active
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Individual

DR. MARK D WEINGARTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301054440
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2964679-10
MI
Enumeration date
11/02/2005
Last updated
01/23/2015
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