Provider Demographics
NPI:1598715120
Name:WEINER, H RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:H
Middle Name:RICHARD
Last Name:WEINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8923 W BROWN DEER RD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-2120
Mailing Address - Country:US
Mailing Address - Phone:414-355-4300
Mailing Address - Fax:414-355-4608
Practice Address - Street 1:8923 W BROWN DEER RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-2120
Practice Address - Country:US
Practice Address - Phone:414-355-4300
Practice Address - Fax:414-355-4608
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI29316207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine