Individual
CORINNE L WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6220 W MAIN ST, KALAMAZOO, MI 49009-8925
(269) 276-4744
(269) 353-5856
Mailing address
6220 W MAIN ST, KALAMAZOO, MI 49009-8925
(269) 276-4744
(269) 353-5856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008155
MI
363AM0700X
Medical Physician Assistant
1917
WI
Other
Enumeration date
08/24/2005
Last updated
04/28/2017
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