Individual
DR. MELANIE DAWN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1300 19TH ST NE, WATERTOWN, SD 57201-6799
(605) 882-0808
(605) 882-7078
Mailing address
1300 19TH ST NE, WATERTOWN, SD 57201-6799
(605) 882-0808
(605) 882-7078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SDT555
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040755
WELLMARK BCBS
SD
05
—
9201302
—
SD
01
—
9213913
DAKOTA CARE
SD
Enumeration date
12/13/2006
Last updated
02/06/2008
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