Provider Demographics
NPI:1649302191
Name:WEINRICH, MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:WEINRICH
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 1:513 OLD ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2411
Mailing Address - Country:US
Mailing Address - Phone:410-947-2006
Mailing Address - Fax:
Practice Address - Street 1:6100 EXECUTIVE BLVD
Practice Address - Street 2:RM 2A-03
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3902
Practice Address - Country:US
Practice Address - Phone:301-402-4201
Practice Address - Fax:301-402-0832
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD383212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology