Individual
ETHAN WEINFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6687 ALDERLEY WAY, WEST BLOOMFIELD, MI 48322-3858
(248) 914-7229
Mailing address
6687 ALDERLEY WAY, WEST BLOOMFIELD, MI 48322-3858
(248) 914-7229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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