Individual
DR. GARY STEPHEN WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 LYNDON LN, SUITE B, LOUISVILLE, KY 40222-5550
(502) 425-8787
(502) 425-8384
Mailing address
105 LYNDON LN, SUITE B, LOUISVILLE, KY 40222-5550
(502) 425-8787
(502) 425-8384
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20300
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2447487000
PASSPORT ADVANTAGE
KY
05
—
64203003
—
KY
Enumeration date
11/10/2006
Last updated
07/08/2007
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