Individual provider · Type 1 NPI
Glenn Michael Weinraub, DPM
Foot & Ankle Surgery Podiatrist · San Leandro, CA
NPI number
1093786998
Active
Practice location
2500 Merced St
San Leandro, CA 94577-4201
Fax (540) 772-3785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E4043 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4043 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1093786998
Glenn Michael Weinraub, DPM's National Provider Identifier is 1093786998, issued on Jan 30, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Leandro, CA. The record was last updated on Jan 4, 2022.