# DR. JEREMY L WEISS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447451570
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 036166255 | IL | — |
| 208800000X | Urology Physician | 45925 | CO | — |
| 208800000X | Urology Physician | 8061375 | ID | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 10/22/2024