Provider Demographics
NPI:1952385643
Name:WEI, MICHAEL HC (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:HC
Last Name:WEI
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 1:24123 PEACHLAND BLVD C4
Mailing Address - Street 2:129
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33954
Mailing Address - Country:US
Mailing Address - Phone:614-343-0250
Mailing Address - Fax:
Practice Address - Street 1:603 E OLYMPIA AVE
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3839
Practice Address - Country:US
Practice Address - Phone:941-639-7076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3507-5444W207RP1001X
FLME100883207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB1853ZOtherMEDICARE
FLB1853ZOtherMEDICARE