Provider Demographics
NPI:1205954518
Name:WEINRIB, MARK MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:MICHAEL
Last Name:WEINRIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1301 E SOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2317
Mailing Address - Country:US
Mailing Address - Phone:334-281-8008
Mailing Address - Fax:334-281-0090
Practice Address - Street 1:1301 E SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2317
Practice Address - Country:US
Practice Address - Phone:334-281-8008
Practice Address - Fax:334-281-0090
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALRSV.3207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology