Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 5453 | AL |
Y | 208600000X | Surgeon | 5453 | AL |
NPI | 1013939537 |
---|---|
Provider Name | Dr. Leonard Steve Weinstein |
First Address | Mobile, AL 36607-3520 |
Second Address | Mobile, AL 36607-3520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 25/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
528902590 | (05) | AL |
C78656 | (02) | AL |