Weiss, Michael D

Weiss, Michael D is an individual health care provider with primary practice located at 1020 N Mason Rd Div Surg Accs Podiatry, Ste 225, Saint Louis MO 63141-6666. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Weiss, Michael D can be contacted via phone (314) 747-4769.

Contact Information

Primary practice address
1020 N Mason Rd Div Surg Accs Podiatry, Ste 225 Saint Louis MO 63141-6666
Phone: (314) 747-4769
Fax: (888) 824-2176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000467 Missouri

Profile Details

NPI number 1659354058
LBN Legal business name Weiss, Michael D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Apr 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659354058 NPPES
Missouri MEDICAID 301750006

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