Individual
SHELDON WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3577 W 13 MILE RD, SUITE 204, ROYAL OAK, MI 48073-6710
(248) 551-2441
(248) 551-1094
Mailing address
29992 NORTHWESTERN HWY, SUITE C, FARMINGTON HILLS, MI 48334-3292
(248) 551-2446
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
4301039690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160F376970
BLUE SHIELD INDIVIDUAL
MI
05
—
1881654887
—
MI
01
—
700H273300
BLUE SHIELD GROUP
MI
Enumeration date
03/24/2006
Last updated
03/31/2014
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