Individual
DR. FRED E WEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
519 N PONTIAC TRL, WALLED LAKE, MI 48390-3442
(248) 624-1707
(248) 624-0203
Mailing address
519 N PONTIAC TRL, WALLED LAKE, MI 48390-3442
(248) 624-1707
(248) 624-0203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023175841
—
MI
Enumeration date
01/02/2007
Last updated
08/07/2020
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