Individual
CRIAG R WEINERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PWB SECOND FLOOR, CLINIC 2A, 516 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 626-6100
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414-2924
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38371
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
38371
MN
207RP1001X
Pulmonary Disease Physician
Primary
38371
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04T85WE
BLUE CROSS BLUE SHIELD
MN
01
—
090811
FAIRVIEW
MN
01
—
1011042
PREFERREDONE
MN
05
—
10387
—
ND
01
—
106658
UCARE
MN
05
—
1975680
—
IA
05
—
32180300
—
WI
01
—
48-00006
MEDICA - PRIMARY
MN
01
—
4800020
MEDICA - CHOICE
MN
01
—
768404
ARAZ
MN
05
—
7777470
—
SD
05
—
883822400
—
MN
01
—
HP20573
HEALTHPARTNERS
MN
Enumeration date
09/20/2006
Last updated
10/29/2012
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