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Individual

DR. MICHAEL L WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4626 SAWMILL RD, COLUMBUS, OH 43220-2247
(614) 538-9339
Mailing address
4626 SAWMILL RD, COLUMBUS, OH 43220-2247
(614) 538-9339
(614) 538-9162

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35057359
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000122423
ANTHEM
01
010061916
MEDICARE RAILROAD
05
0794994
OH
Enumeration date
06/30/2006
Last updated
05/25/2023
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