Most Relevant Information
Provider Data
| NPI Number: | 1003016098 |
| Provider Name: | STEPHANIE MARIE LOUSIA WEINBERGER P.A.-C. |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 1061674 |
Most Important Dates
| Enumeration Date: | 07/19/2007 |
| Last Updated: | 07/19/2007 |
Provider Practice Location
2300 HAGGERTY RD
WEST BLOOMFIELD
MI
483232184
Practice Location Phone/Fax
| Phone: | 2486249800 |
| Fax: |
Provider Mailing Location
3106 ADDINGTON DR
COMMERCE TOWNSHIP
MI
483904004
Provider Mailing Phone/Fax
| Phone: | 2482279300 |
| Fax: |