Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | B00581 | NV |
NPI | 1316405624 |
---|---|
Provider Name | Dr. Michael Louis Weinberger |
First Address | Las Vegas, NV 89141-4337 |
Second Address | Las Vegas, NV 89110-2260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2019 |
Last Update Date | 05/03/2019 |