Individual
DR. MICHAEL D. WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
242 S COOPER ST, MEMPHIS, TN 38104-4214
(901) 276-3937
Mailing address
242 S COOPER ST, MEMPHIS, TN 38104-4214
(901) 276-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1765
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4099644
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
09/19/2005
Last updated
02/17/2009
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