Organization · NPI-2
Fred Weiland MD, INC
Nuclear Medicine, Nuclear Imaging & Therapy · Roseville, CA
NPI number1154500122
StatusActive
Last updated in NPPESMar 12, 2008
Details
- NPI
- 1154500122
- Entity type
- Organization (NPI-2)
- Legal business name
- Fred Weiland MD, INC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2007
- Last updated
- Mar 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207UN0902X | Nuclear Medicine, Nuclear Imaging & Therapy | G39050 | CA | Yes |
Practice location
1 Medical Plaza DrAtt Nuclear Medicine
Roseville, CA 95661-3037
Phone 916-781-1291 · Fax 916-663-9912
Mailing address
Po Box 897Roseville, CA 95678-0897
Phone 916-781-1291 · Fax 916-663-9912
Authorized official
Frederick L. Weiland
President
9167811291
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