Provider Demographics
NPI:1326016999
Name:WEINSTEIN, MICHAEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SPONSORS
Mailing Address - Street 2:338 HWY 99 N
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402
Mailing Address - Country:US
Mailing Address - Phone:541-485-8341
Mailing Address - Fax:541-683-6196
Practice Address - Street 1:SPONSORS
Practice Address - Street 2:338 HWY 99 N
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402
Practice Address - Country:US
Practice Address - Phone:541-485-8341
Practice Address - Fax:541-683-6196
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD10663207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C91000Medicare UPIN
OR245977Medicare ID - Type Unspecified
ORR159336Medicare PIN
08WFBFRFMedicare ID - Type Unspecified