Individual
DR. BRIAN H WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 WEST 80TH AVE., STE A, MERRILLVILLE, IN 46410-6258
(219) 791-9785
(219) 791-9787
Mailing address
300 W 80TH AVE, SUITE A, MERRILLVILLE, IN 46410-7184
(219) 791-9785
(219) 791-9787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024744
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080144835
RAILROAD MEDICARE
IN
05
—
200000310
—
IN
Enumeration date
10/03/2006
Last updated
06/05/2013
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