Mark A Weiner
Internist Internist - Addiction Medicine
5333 Mcauley Dr Rm 5011
Ypsilanti
, Michigan 48197-1003
Mark A Weiner
Internist Internist - Addiction Medicine
5333 Mcauley Dr Rm 5011
Ypsilanti
, Michigan 48197-1003
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Mark A Weiner
- 24 Frank Lloyd Wright Dr Lbby J2000
- Ann Arbor, MI
- Zip : 48105-9484
- Phone :
Second Address
- Mark A Weiner
- 5333 Mcauley Dr Rm 5011
- Ypsilanti, MI
- Zip : 48197-1003
- Fax : (734) 622-5017
- Phone : (734) 622-5016
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301067395 | MI |
| N | 111NI0900X | Internist | 4301067395 | MI |
| Y | 207RA0401X | Internist - Addiction Medicine | 4301067395 | MI |
National Provider Identifier
| NPI | 1669590352 |
|---|---|
| Provider Name | Mark A Weiner |
| First Address | Ann Arbor, MI 48105-9484 |
| Second Address | Ypsilanti, MI 48197-1003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 13/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.