Provider Demographics
NPI:1972549400
Name:WEINSTEIN, DAVID MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MATTHEW
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1886 W AUBURN RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3865
Mailing Address - Country:US
Mailing Address - Phone:248-290-3111
Mailing Address - Fax:248-290-3100
Practice Address - Street 1:3535 W 13 MILE RD
Practice Address - Street 2:SUITE 247
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6770
Practice Address - Country:US
Practice Address - Phone:248-290-3111
Practice Address - Fax:248-290-3100
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MI4301084602207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIBW8891803OtherDEA NUMBER
MIBW8891803OtherDEA NUMBER