Provider Demographics
NPI:1376844696
Name:WEINGEIST, ROBERT MCGREGOR (LAC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MCGREGOR
Last Name:WEINGEIST
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 E WASHINGTON ST
Mailing Address - Street 2:101
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-3968
Mailing Address - Country:US
Mailing Address - Phone:319-331-9312
Mailing Address - Fax:
Practice Address - Street 1:325 E WASHINGTON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-3968
Practice Address - Country:US
Practice Address - Phone:319-331-9312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA78-A171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist