Individual
LARRY H WEINHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER, MADISON, WI 53715-1830
(608) 260-6000
Mailing address
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER, MADISON, WI 53715-1830
(608) 260-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
30268-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1796
DEAN HEALTH INSURANCE
WI
05
—
31502600
—
WI
Enumeration date
06/07/2006
Last updated
06/08/2010
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